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NPI Code Detail

MEDICARE: MR. JAMES WILLIAM SIMON MD

MEDICARE:  MR. JAMES WILLIAM SIMON  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
1208800000XUrology Physician35 04 5354SOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11900179OTHERUHC
2000000116897OTHERANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336113133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES WILLIAM SIMON MD
Provider Business Mailing Address
First Line : PO BOX 634172
Second Line : COLUMBUS UROLOGY INC
City : CINCINNATI
State : OH
Zip : 45263-4172
Country : US
Telephone Number : 614-818-3576
Fax Number : 614-818-0217
Provider Business Practice Location Address
First Line : 500 THOMAS LANE
Second Line : SUITE 3C COLUMBUS UROLOGY INC
City : COLUMBUS
State : OH
Zip : 43214-1419
Country : US
Telephone Number : 614-538-2222
Fax Number : 614-538-2233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 12/03/2010

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Directions to “ MR. JAMES WILLIAM SIMON MD” Practice Location

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