MRS. AMANDA BEN SIMON (NPI# 1770038267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770038267 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BEN SIMON |
| Credential | PA-C |
| Practice Address |
6020 W Parker Rd Ste 470 Plano TX 75093-8338 |
| Practice Telephone | 9726088868 |
| Practice Fax Number | 9726080366 |
| Mailing Telephone | 9726088868 |
| Mailing Fax Number | 9726080366 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA10563 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10563 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5204 Colleyville Blvd, Colleyville, TX 760345829 | 8173693300 |
| Street Address |
6020 W PARKER RD STE 470 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225135767 | Shelton K Jones | Physician Assistant | 6020 W Parker Rd Ste 470, Plano, TX 75093 | 2006-09-19 |
| 1750893756 | Edward Martinez | Physician Assistant | 6020 W Parker Rd Ste 470, Plano, TX 75093-8338 | 2017-10-30 |
| 1396296117 | Kyndra Lea Gross | Physician Assistant | 6020 W Parker Rd Ste 470, Plano, TX 75093-8338 | 2016-10-17 |
| 1942529946 | Elizabeth Diaz | Physician Assistant | 6020 W Parker Rd Ste 470, Plano, TX 75093-8338 | 2010-05-31 |
| 1194955328 | Kwame Appiagyei Ennin | Orthopaedic Surgery | 6020 W Parker Rd Ste 470, Plano, TX 75093-8338 | 2009-07-22 |
| 1700028925 | Karim Ahmed Elsharkawy | Orthopaedic Surgery | 6020 W Parker Rd Ste 470, Plano, TX 75093 | 2009-04-02 |
| 1700031143 | Nguyet Anh Vo | Physician Assistant | 6020 W Parker Rd Ste 470, Plano, TX 75093-8338 | 2008-11-26 |
| 1407031479 | Faye Denise Hodgin | Physician Assistant | 6020 W Parker Rd Ste 470, Plano, TX 75093-8338 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1396223905 | Wheelock Surgical Assist Pllc | Physician Assistant | 3104 Rockbrook Dr, Plano, TX 75074-4625 | 2018-08-06 |
| 1023512282 | Pas Services Pllc | Physician Assistant | 2805 Dallas Pkwy Ste 640, Plano, TX 75093-8724 | 2018-03-22 |
| 1235658717 | Devyn Lambell | Physician Assistant | 7000 W Plano Pkwy Ste 200, Plano, TX 75093-8490 | 2017-09-15 |
| 1932507746 | Nspa of Texas, LLC | Physician Assistant | 5701 Lois Ln, Plano, TX 75024-5840 | 2014-12-10 |
| 1073740080 | Gabriel Ray Schlebach | Physician Assistant | 3901 W. 15th, Plano, TX 75070-5169 | 2009-06-17 |
| 1053462978 | Michael T. Timm | Physician Assistant | 1504 Huron Trl, Plano, TX 75075-6824 | 2007-01-16 |
| 1063475903 | Devin Keith Mccoy | Physician Assistant | 1600 Coit Rd Ste 104, Plano, TX 75075 | 2006-04-11 |
| 1609837871 | Samantha Parnell | Physician Assistant | 2313 Parkhaven Dr, Plano, TX 75075-2014 | 2006-03-29 |
| 1114534484 | David Timothy Morris | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2020-09-30 |
| Find all providers in PLANO | ||||
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| 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.