MEDICARE: DR. SIMON JOHN ALLPORT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	9900007	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730166554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIMON JOHN ALLPORT MD

Provider Business Mailing Address
First Line	:	1771 TATE BLVD SE STE 101
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-4250
Country	:	US
Telephone Number	:	283-042-5278
Fax Number	:	828-256-1601

Provider Business Practice Location Address
First Line	:	1771 TATE BLVD SE STE 101
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-4250
Country	:	US
Telephone Number	:	828-304-2527
Fax Number	:	288-256-1601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	07/20/2025

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Directions to “ DR. SIMON JOHN ALLPORT MD” Practice Location

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