Jenny R Simon
LIGHTHOUSE HEALTHCARE, LLC


Address: 1211 N Shartel Ave, Oklahoma City, OK 73103-2477
Phone: 4052355331

Jenny R Simon (NPI# 1164641825, PAC ID# 6901906999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1164641825
PAC ID by PECOS 6901906999
Professional Enrollment ID I20090105000234
Full Name Jenny R Simon
Organization Legal Name LIGHTHOUSE HEALTHCARE, LLC
Address 1211 N Shartel Ave
Oklahoma City
OK 73103-2477
Phone Number 4052355331
Gender F
Graduation Year 2006
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 0345380515
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370106 INTEGRIS SOUTHWEST MEDICAL CENTER
370203 COMMUNITY HOSPITAL, LLC
370093 O U MEDICAL CENTER

Other Locations

Address Phone Organization
1211 N Shartel Ave, Oklahoma City, OK 73103-2477 4052355331 LIGHTHOUSE HEALTHCARE, LLC
1211 N Shartel Ave, Suite 900, Oklahoma City, OK 73103-2477 4052355331 LIGHTHOUSE HEALTHCARE, LLC

Organization Information

Organization Legal Name LIGHTHOUSE HEALTHCARE, LLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Lee C Rittenhouse Family Medicine Lighthouse Healthcare, LLC 1211 N Shartel Ave, Suite 900, Oklahoma City, OK 73103-2477
Donald A Guthrie Physician Assistant Lighthouse Healthcare, LLC 1211 N Shartel Ave, Suite 900, Oklahoma City, OK 73103-2477
Katherine J Payne Physician Assistant Lighthouse Healthcare, LLC 1211 N Shartel Ave, Suite 900, Oklahoma City, OK 73103-2477

Office Location

Street Address 1211 N SHARTEL AVE
City OKLAHOMA CITY
State OK
Zip 73103-2477

Physicians in the same location

Name Specialty Organization Address
Muhammad Monen Gillan Internal Medicine Christine E Codding Md PC 1211 N Shartel Ave, Suite 700, Oklahoma City, OK 73103-2433
Brenda Kris Mullins Cardiovascular Disease (cardiology) 1211 N Shartel Ave, Suite 1005, Oklahoma City, OK 73103-2433
Susan L Quisenberry Nurse Practitioner Christine E Codding Md PC 1211 N Shartel Ave, Suite 700, Oklahoma City, OK 73103-2433
Dennis E Sandler Obstetrics/gynecology 1211 N Shartel Ave, 107 Shared Wellness, Oklahoma City, OK 73103-2425
Andrew C Gin Neurology 1211 N Shartel Ave, Suite 600, Oklahoma City, OK 73103-2433
Lee C Rittenhouse Family Medicine Lighthouse Healthcare, LLC 1211 N Shartel Ave, Suite 900, Oklahoma City, OK 73103-2477
Clarence L Wiley Sr. Dermatology 1211 N Shartel Ave, Suite 407, Oklahoma City, OK 73103-2425
William Anthony Collazo Cardiovascular Disease (cardiology) 1211 N Shartel Ave, Suite 1006, Oklahoma City, OK 73103-2433
Donald A Guthrie Physician Assistant Lighthouse Healthcare, LLC 1211 N Shartel Ave, Suite 900, Oklahoma City, OK 73103-2477
Christine Ellen Codding Internal Medicine Christine E Codding Md PC 1211 N Shartel Ave, Suite 700, Oklahoma City, OK 73103-2433
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Alasha S Young Chiropractic 600 Nw 23rd St, Suite 102, Oklahoma City, OK 73103-1464
David R Allen Pulmonary Disease 1226 N Shartel Ave, Suite 100, Oklahoma City, OK 73103-2421
Krishnamurthy Ashok Family Medicine 1211 N Shartel, Suite 208, Oklahoma City, OK 73103-2425
Jessica E Scott Physician Assistant Oklahoma Shoulder Center Pllc 725 Nw 11th St, Oklahoma City, OK 73103-2429
Billie Jeanne Hanes Clinical Social Worker 1211 N Shartel Ave, Suite 603, Oklahoma City, OK 73103-2433
Jessica M Wells Burris Physician Assistant Medical Center Pain Clinic, Pllc 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103-2435
Timothy Luke Cramer Family Medicine Medical Center Pain Clinic, Pllc 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103-2435
Jennifer L Webb Nurse Practitioner Medical Center Pain Clinic, Pllc 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103-2435
Brooke Pearce Siebenman Physician Assistant Medical Center Pain Clinic, Pllc 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103-2435
Pavel Riha Cardiovascular Disease (cardiology) 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103-2435
Find all physicians in zip 73103

Competitor

Search similar physicians

City OKLAHOMA CITY
Zip Code 73103
Specialty PHYSICIAN ASSISTANT
City + Specialty OKLAHOMA CITY + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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