Jenny Simon is a Physician Assistant in Ada, Oklahoma. Jenny Simon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jenny Simon is 1164641825. The last update date is 2007-07-08.
Jenny Simon's current location address is 1001 N Country Club Rd, Ada, Oklahoma. You can contact this provider via phone number 5804363980. The mailing address for Jenny Simon is 1001 N Country Club Rd, Ada, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenny Simon |
|---|---|
| Address | 1001 N Country Club Rd, Ada, Oklahoma |
| Phone Number | 5804363980 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164641825 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1001 N Country Club Rd |
|---|---|
| City | Ada |
| State | Oklahoma (OK) |
| Post Code | 748202847 |
| Phone Number | 5804363980 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1583 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Jenny Simon by the Centers for Medicare & Medicaid Services?
The Jenny Simon has been assigned the NPI (National Provider Identifier) 1164641825 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 Jenny Simon?
The Jenny Simon is situated at 1001 N Country Club Rd, in the city of Ada, state of OK, with the zip code 748202847.
What is the Jenny Simon's area of specialization and corresponding taxonomy classification?
The Jenny Simon's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When was the Jenny Simon's 1164641825 issued?
The Jenny Simon's 1164641825 was issued on 2007-04-24.
As of what date were the details related to Jenny Simon most recently updated or revised?
The information pertaining to Jenny Simon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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