Mark Terrance Simon in Massillon - Family Medicine
Mark Terrance Simon - NPI 1053307694
Mark Terrance Simon is a Family Medicine in Massillon, Ohio. Mark Terrance Simon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Terrance Simon is 1053307694. The last update date is 2008-10-22.
Mark Terrance Simon's current location address is 2300 Wales Ave Nw, Massillon, Ohio. You can contact this provider via phone number 3308323188 and fax number 3308329936. The mailing address for Mark Terrance Simon is 2300 Wales Ave Nw, Massillon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Terrance Simon |
|---|---|
| Address | 2300 Wales Ave Nw, Massillon, Ohio |
| Phone Number | 3308323188 |
| Fax Number | 3308329936 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053307694 |
|---|---|
| Provider Enumeration Date | 2005-09-20 |
| Last Updated Date | 2008-10-22 |
Provider Mailing Address Detail
| Address | 2300 Wales Ave Nw |
|---|---|
| City | Massillon |
| State | Ohio (OH) |
| Post Code | 446462323 |
| Phone Number | 3308323188 |
| Fax Number | 3308329936 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 34-002783-S |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 395255 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Terrance Simon by the Centers for Medicare & Medicaid Services?
The Mark Terrance Simon has been assigned the NPI (National Provider Identifier) 1053307694 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark Terrance Simon?
The Mark Terrance Simon is situated at 2300 Wales Ave Nw, in the city of Massillon, state of OH, with the zip code 446462323.
What is the Mark Terrance Simon's area of specialization and corresponding taxonomy classification?
The Mark Terrance Simon's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1053307694 assigned to Mark Terrance Simon?
The Mark Terrance Simon was issued its 1053307694 on 2005-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Terrance Simon most recently updated?
The details pertaining to the Mark Terrance Simon, including its address, specialty, and other relevant information, were last refreshed on 2008-10-22.