MICHAEL W SIMON, M.D.
NPI 1649613852
Pediatrics - Adolescent Medicine in Nicholasville, KY

Active since April 08, 2013CLIA 18D0664933 · Microscopy
610 E BRANNON RD, NICHOLASVILLE, KY 40356(859) 277-6516(859) 277-1521 Get Directions Write a Review

NPPES record last updated: April 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael W Simon, M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL W SIMON, M.D. (NPI 1649613852) is a healthcare organization registered as an adolescent medicine in Nicholasville, Kentucky and active in the NPI registry since April 2013. The organization holds a CLIA Microscopy certificate valid through October 11, 2026 and lists Ellen Maria Simon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649613852
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMICHAEL W SIMON, M.D.
Location Address610 E BRANNON RDNicholasville, KY 40356-6066
Mailing Address610 E Brannon RdNicholasville, KY 40356-6066 · (859) 277-6516 · Fax (859) 277-1521
Fax(859) 277-1521
Organization SubpartNo
Authorized OfficialEllen Maria SimonOffice Manager · (859) 277-6516
Enumeration DateApril 8, 2013
NPI 1649613852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
610 E BRANNON RD, Nicholasville, KY 40356

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0664933

Michael W Simon MD Psc · Lexington, KY
Active · expires Oct 11, 2026
CLIA Number18D0664933
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorDr. Michael W. Simon
Laboratory Phone(859) 277-6516
Laboratory LocationMichael W Simon MD Psc4040 Finn Way, Suite 310, Lexington, KY 40517
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
610 E BRANNON RD
NICHOLASVILLE, KY 40356
Family Medicine
610 E BRANNON RD
NICHOLASVILLE, KY 40356
Family Medicine
610 E BRANNON RD
NICHOLASVILLE, KY 40356
Clinic/Center (Urgent Care)
610 E BRANNON RD
NICHOLASVILLE, KY 40356
Pediatrics
610 E BRANNON RD, SUITE 201
NICHOLASVILLE, KY 40356

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 Michael W Simon, M.D.'s NPI number?

The NPI number for Michael W Simon, M.D. is 1649613852. It was assigned to this organization in the NPPES registry on April 8, 2013.

Where is Michael W Simon, M.D. located?

Michael W Simon, M.D. is located at 610 E Brannon Rd, Nicholasville, KY 40356. The listed phone number is (859) 277-6516.

What is Michael W Simon, M.D.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Michael W Simon, M.D. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D0664933) is associated with this NPI, valid through October 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michael W Simon, M.D. was last updated on April 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.