Organization provider

FRED L SIMON MD PA

CMS NPPES lists FRED L SIMON MD PA as an organization provider record with NPI 1003001488. The current record reports a primary practice location in LAKE WORTH, FL and primary taxonomy code 208600000X.

NPI 1003001488Record type Type 2Primary taxonomy 208600000X

Type 2 NPIs identify organizations such as practices, groups, and facilities; the NPI type alone does not establish a specific organization category. How to read this profile

01

Practice locations

  1. Primary practice location
    4665 S CONGRESS AVESUITE 102LAKE WORTH, FL 334614754

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 208600000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
September 10, 2007

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.