Healthcare Provider Details

I. General information

NPI: 1063670693
Provider Name (Legal Business Name): ALEXA SIMON MEARA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXA N SIMON MD

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KENNY RD FL 4
COLUMBUS OH
43221-3502
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-5066
  • Fax: 614-293-9449
Mailing address:
  • Phone: 614-293-5066
  • Fax: 614-293-9449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35.121043
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: