MEDICARE: DANIEL I 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
1	207RC0000X	Cardiovascular Disease Physician	71840	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00337974	OTHER	OH	RAILROAD MEDICARE
8	P00449230	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	364015	OTHER	OH	WELLCARE
2	5452126	OTHER	OH	AETNA
3	000000224443	OTHER	OH	UNISON
4	751184	OTHER	OH	BUCKEYE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	000000539520	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1538125935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL I SIMON MD

Provider Business Mailing Address
First Line	:	24701 EUCLID AVE
Second Line	:	3RD FLOOR
City	:	EUCLID
State	:	OH
Zip	:	44117-1714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:	LAKESIDE 3001
City	:	CLEVELAND
State	:	OH
Zip	:	44106-5038
Country	:	US
Telephone Number	:	216-844-8151
Fax Number	:	216-844-8318

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	01/13/2021

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Directions to “ DANIEL I SIMON MD” Practice Location

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