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.
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370106 | INTEGRIS SOUTHWEST MEDICAL CENTER |
| 370203 | COMMUNITY HOSPITAL, LLC |
| 370093 | O U MEDICAL CENTER |
| 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 Legal Name | LIGHTHOUSE HEALTHCARE, LLC |
| Physicians | 4 |
| 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 |
| Street Address |
1211 N SHARTEL AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73103-2477 |
| 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 | |||
| 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 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OKLAHOMA CITY + PHYSICIAN ASSISTANT |
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| 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.