JILLIAN SIMON


Address: 300 Longwood Ave Dept Of, Boston, MA 02115
Phone: 6173557252

JILLIAN SIMON (NPI# 1760985568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760985568
Entity Type Individual
Full Name JILLIAN SIMON
Credential PA-C
Practice Address 300 Longwood Ave Dept Of
Boston
MA 02115
Mailing Address 300 Longwood Ave
Boston
MA 02115-5724
Practice Telephone 6173557252
Mailing Telephone 6173556000
Enumeration Date 2018-03-18
Last Update Date 2020-03-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA6506 MA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist 		PA6506 MA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JILLIAN SIMON

NPI Name Taxonomy Address Enumeration
1730713157 Jillian Simon Nurse Practitioner 2000 North Ave, Northfield, MN 55057-1697 2020-02-25

Office Location

Street Address 300 LONGWOOD AVE DEPT OF
City BOSTON
State MA
Zip Code 02115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538381231 Catherine Caillouette Registered Nurse 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2007-05-03
1326657016 Matthew Asermely Dentist 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2020-07-28
1780202846 Imari-ashley Fulache Palma Psychologist 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2020-07-06
1376003251 Lukas Kames Gaffney Pediatrics 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2019-03-25
1144789140 Evida Dennis Student in an Organized Health Care Education/Training Program 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2019-03-19
1811464837 Erin Halley Stockman Nurse Practitioner 300 Longwood Ave Dept Of, Boston, MA 02115-5737 2018-10-29
1295178549 Maricarmen Roche Rodriguez Anesthesiology 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2013-04-16
1467742486 Sarah Elizabeth Fleet Pediatrics 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2011-04-11
1144489055 Mariette Tyedmers Technician/Technologist 300 Longwood Ave Dept Of, Boston, MA 02115-5724 2008-06-05
1134305071 Jonathan Oren Lipton Psychiatry & Neurology 300 Longwood Ave Dept Of, Fegan 11, Boston, MA 02115-5724 2008-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780235333 Emily Fregeau Physician Assistant 1 Canal St Unit 518, Boston, MA 02114-2053 2019-09-25
1255853917 Jessica Amy Casper Physician Assistant 110 Francis St., Lmob Suite 3b, Beth Israel Deaconess Medical Center, Neurosurgery Dept, Boston, MA 02215 2017-07-13
1760884688 Brian Patrick Abbott Physician Assistant 17 Tileston St, Apt 4, Boston, MA 02113-1950 2014-09-23
1043489560 Pamela Veronica Maingon Physician Assistant 20 Lime St Apt 2, Boston, MA 02108-1117 2008-02-28
1962558585 Lori Heather Sinclair Physician Assistant Mass General Hospital 55 Fruit Street, Cox 630, Boston, MA 02114 2007-01-26
1013531789 Jillian Hamlin Physician Assistant 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-05-29
1578102455 Madison Altwies Physician Assistant 75 Francis St, Boston, MA 02115-6106 2019-12-25
1205482551 Kendra King Physician Assistant 75 Francis St, Boston, MA 02115-6106 2019-08-13
1124598396 Rebecca Jayne Moriarty Physician Assistant 75 Francis St, Boston, MA 02115-6110 2018-11-30
1689151516 Thomas Doucette Physician Assistant 75 Francis St, Boston, MA 02115-6110 2018-07-24
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Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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