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NPI Code Detail

MEDICARE: JON RURIC SIMONS M.D.

MEDICARE: JON RURIC SIMONS M.D.
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
12085N0904XNuclear Radiology Physician4939TN
22085R0202XDiagnostic Radiology Physician4939TN

General Provider Information

NPI Number : 1497752059
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON RURIC SIMONS M.D.
Provider Business Mailing Address
First Line : 1112 E WEISGARBER RD
Second Line : STE 201
City : KNOXVILLE
State : TN
Zip : 37909-2647
Country : US
Telephone Number : 865-558-9862
Fax Number : 865-584-3478
Provider Business Practice Location Address
First Line : 1112 E WEISGARBER RD
Second Line : STE 201
City : KNOXVILLE
State : TN
Zip : 37909-2647
Country : US
Telephone Number : 865-558-9862
Fax Number : 865-584-3478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 12/07/2025

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Directions to “ JON RURIC SIMONS M.D.” Practice Location

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