Active NPIIndividual providerSole proprietor

Dr. David L Simon, MD, JD

Anesthesiology, Addiction Medicine in Mansfield Center, Connecticut

NPI Number1962736611
Practice location
2 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1682
Fax
860-786-1192
Last updated
April 30, 2019

David L Simon is an Anesthesiology, Addiction Medicine based in Mansfield Center, CT. David L Simon practices in Mansfield Center, CT and has the professional credentials of MD, JD. The NPI Number for David L Simon is 1962736611 and holds a License No. MD-050916L (PA). The current practice location address for David L Simon is 2 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1682 and can be reached out via phone at 860-356-2242 and via fax at 860-786-1192.

Provider Profile Details

NPI Number
1962736611
Provider Name
David L Simon
Credential
MD, JD
Provider Entity Type
Individual
Gender
Male
Address
2 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1682
Phone Number
860-356-2242
Fax Number
860-786-1192
Primary Taxonomy
Anesthesiology, Addiction Medicine · 207LA0401X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2009
Last Update Date
April 30, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Ledgebrook Dr Fl 2
Mansfield Center, CT 06250-1682
Zip
06250-1682
Phone Number
860-356-2242
Fax Number
860-786-1192
Mansfield Center, CT 06250Get directions →

Provider Business Mailing Address Details

Address
Po Box 618
Mansfield Center, CT 06250-0618
City
Mansfield Center
State
CT
Zip
06250-0618
Phone Number
860-356-2242

License Information

License Number (1)
MD-050916L
License State (1)
PA
Taxonomy (1)
Anesthesiology, Addiction Medicine · 207LA0401X
License Number (2)
60-18004
License State (2)
NY
Taxonomy (2)
Anesthesiology, Addiction Medicine · 207LA0401X
License Number (3)
154633
License State (3)
MA
Taxonomy (3)
Anesthesiology, Addiction Medicine · 207LA0401X
License Number (4)
013633
License State (4)
CT
Taxonomy (4)
Anesthesiology, Addiction Medicine · 207LA0401X
License Number (5)
G88443
License State (5)
CA
Taxonomy (5)
Anesthesiology, Addiction Medicine · 207LA0401X
License Number (6)
013633
License State (6)
CT
Taxonomy (6)
· 208VP0000X
License Number (7)
013633
License State (7)
CT
License Number (8)
013633
License State (8)
CT
Taxonomy (8)
Legal Medicine · 209800000X
License Number (9)
13633
License State (9)
CT
Taxonomy (9)
Anesthesiology, Addiction Medicine · 207LA0401X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. David L Simon, MD, JD?

The NPI number of Dr. David L Simon, MD, JD is 1962736611. It was assigned on September 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. David L Simon, MD, JD?

Dr. David L Simon, MD, JD is registered under the primary taxonomy Anesthesiology, Addiction Medicine (code 207LA0401X), licensed in PA under license number MD-050916L.

Where does Dr. David L Simon, MD, JD practice?

The practice location is 2 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250-1682. The office can be reached at 860-356-2242 (phone) or 860-786-1192 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962736611 directly on the NPPES registry website.

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