# SHELDON D. SIMON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568644151
- **Authorized official:** MS. CARRIE J JONES (OFFICE MANAGER)
- **Authorized official phone:** (270) 683-4844

## Contact information

- **Practice address:** 1700 FREDERICA ST STE 103, OWENSBORO, KY 42301-4833
- **Practice address phone:** (270) 683-4844
- **Practice address fax:** (270) 926-8366
- **Mailing address:** 1700 FREDERICA ST STE 103, OWENSBORO, KY 42301-4833
- **Mailing address phone:** (270) 683-4844
- **Mailing address fax:** (270) 926-8366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | Yes |
| 213ES0000X | Sports Medicine Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 12/05/2007