FRED L SIMON MD PA NPI 1003001488

Surgery in Lake Worth, FL

About FRED L SIMON MD PA

Fred L Simon Md Pa is a provider in Lake Worth, FL. The NPI number assigned to this provider is 1003001488. The practitioner's primary taxonomy code is Surgery (208600000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Fred L Simon Md Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003001488 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameFRED L SIMON MD PA
Provider Location Address4665 S CONGRESS AVE SUITE 102 LAKE WORTH, FL 33461 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 20689 WEST PALM BEACH, FL 33416 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date01-21-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

FRED L SIMON MD PA
4665 S CONGRESS AVE
SUITE 102
LAKE WORTH, FL
ZIP 33461
Phone: (561) 649-0243
Fax: (561) 649-4132
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Mailing Address

FRED L SIMON MD PA
PO BOX 20689
WEST PALM BEACH, FL
ZIP 33416
Phone: (561) 642-0243
Fax: (561) 649-4132

Primary Taxonomy

Taxonomy Code208600000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.ME30854
License StateFL
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Authorized Official

Authorized Official NameDR. FRED L SIMON MD, FRCS(C) FACS Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(561) 642-0243

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Map Location


FRED L SIMON MD PA address is 4665 S CONGRESS AVE SUITE 102 LAKE WORTH, FL 33461

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437145919DR. FRED L SIMON MD
Individual
Surgery4665 S CONGRESS AVE SUITE 100
LAKE WORTH, FL 33461
(561) 649-0243
1851408587 CLARE MORALES RNFA
Individual
Physician Assistant (Surgical Technologist)4665 S CONGRESS AVE SUITE 100
LAKE WORTH, FL 33461
(561) 964-2211
1972598563DR. STEVEN G GOFF MD
Individual
Surgery4665 S CONGRESS AVE 100
LAKE WORTH, FL 33461
(561) 964-2211