DR. ETHAN ALCIDE SIMONEAU DPM
NPI 1124544382
Podiatrist - Foot & Ankle Surgery in Bay Pines, FL
About Dr. Ethan Alcide Simoneau Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ETHAN ALCIDE SIMONEAU DPM (NPI 1124544382) is an individual foot & ankle surgery provider in Bay Pines, Florida, licensed in Florida (PR541) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ethan Alcide Simoneau Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BAY PINES, FL 33744
BAY PINES, FL 33744
BAY PINES, FL 33744
BAY PINES, FL 33744
ST. PETERSBURG, FL 33744
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Simoneau's NPI number?
The NPI number for Ethan Simoneau is 1124544382. It was assigned to this individual provider in the NPPES registry on August 19, 2017.
Where is Ethan Simoneau located?
Ethan Simoneau practices at 10000 Bay Pines Blvd, Bay Pines, FL 33744. The listed phone number is (727) 398-6661.
What is Ethan Simoneau's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Ethan Simoneau enrolled in Medicare?
Yes. Ethan Simoneau is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ethan Simoneau was last updated on August 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Ethan Alcide Simoneau, DPM · NPI 1124544382
Foot & Ankle Surgery provider in Bay Pines, Florida. Individual provider, active in the CMS NPPES registry since August 19, 2017.
## Identity
- **NPI:** 1124544382 (Entity type: Individual)
- **Enumerated:** August 19, 2017
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** PR541 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 10000 BAY PINES BLVD, Bay Pines, FL 33744-8200
- **Phone:** (727) 398-6661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** August 19, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1124544382) · Data from the CMS NPPES public registry.