SIMON ANDERSON (NPI# 1851811012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851811012 |
| Entity Type | Individual |
| Full Name | SIMON ANDERSON |
| Credential | DC |
| Practice Address |
4600 Linton Blvd Ste 250 Delray Beach FL 33445 |
| Mailing Address |
1300 E 66th St Ste 100 Richfield MN 55423-2685 |
| Practice Telephone | 5612772369 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH12162 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DOH LICENSE | CH12162 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 Nw 84th Ave Ste 207, Plantation, FL 333241859 | 9549472167 | |
| 4600 Linton Blvd Ste 250, Delray Beach, FL 334456600 | 5612772369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578037982 | Simon Trey Anderson | Specialist/Technologist | 7398 Shady Hollow Ln, West Chester, OH 45069-7448 | 2019-01-18 |
| Street Address |
4600 LINTON BLVD STE 250 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437265899 | Sunita Sharma | Physical Therapist | 4600 Linton Blvd Ste 250, 250, Delray Beach, FL 33445-6600 | 2006-08-21 |
| 1871192880 | Melissa Koniver Zaslow | Psychologist | 4600 Linton Blvd Ste 250, Delray Beach, FL 33445-6600 | 2020-10-21 |
| 1750907994 | Gabrielle Avery-peck | Psychologist | 4600 Linton Blvd Ste 250, Delray Beach, FL 33445-6600 | 2020-06-23 |
| 1053834796 | Samantha Barone | Dietitian, Registered | 4600 Linton Blvd Ste 250, Delray Beach, FL 33445-6600 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770117582 | Delray Beach Wellness and Rehab | Chiropractor | 5341 Atlantic Ave Ste 305, Delray Beach, FL 33484-8166 | 2020-03-02 |
| 1750914891 | My Bodyworx Chiropractic LLC | Chiropractor | 301 W Atlantic Ave Ste R6, Delray Beach, FL 33444-3688 | 2020-02-18 |
| 1457907495 | James Billingsley | Chiropractor | 3333 S Congress Ave Ste 305, Delray Beach, FL 33445-7346 | 2019-08-15 |
| 1881184281 | Enhanced Health Medical Center, LLC | Chiropractor | 6274 Linton Blvd Ste 102, Delray Beach, FL 33484-6508 | 2018-05-11 |
| 1831641034 | Nicholas Cress | Chiropractor | 2024 Alta Meadows Ln, #806, Delray Beach, FL 33444-1158 | 2016-11-04 |
| 1568829299 | Derek Moore | Chiropractor | 401 W Atlantic Ave Unit 14, Delray Beach, FL 33444 | 2016-01-26 |
| 1710381322 | Quality Spine Center | Chiropractor | 600 N Congress Ave, 120, Delray Beach, FL 33445-3464 | 2014-10-11 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1023424397 | Edwin Kletzel | Chiropractor | 6090 Lake Hibiscus Dr, Delray Beach, FL 33484-4617 | 2014-07-08 |
| 1750704730 | Gem Chiropractic, LLC | Chiropractor | 160 Se 6th Ave, Suite B2, Delray Beach, FL 33483-5264 | 2014-01-28 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on SIMON ANDERSON.
| 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.