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NPI Code Detail

MEDICARE: DR. SIMON CAVENDISH MEARS M.D., P.H.D

MEDICARE: DR. SIMON CAVENDISH MEARS M.D., P.H.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
1207X00000XOrthopaedic Surgery PhysicianD57491MD
2207X00000XOrthopaedic Surgery PhysicianME164657FL
3207X00000XOrthopaedic Surgery PhysicianE-9202AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851340442
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SIMON CAVENDISH MEARS M.D., P.H.D
Provider Business Mailing Address
First Line : 4301 W MARKHAM ST # 783
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-7101
Country : US
Telephone Number : 501-686-8000
Fax Number : 501-526-5148
Provider Business Practice Location Address
First Line : 801 COTTAGE DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-5400
Country : US
Telephone Number : 501-686-6067
Fax Number : 501-686-6068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 12/11/2024

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