Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
SIMON B SMALL
Active
Individual
SIMON B SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001870-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184993
BLUE SHIELD NUMBER
PA
Enumeration date
04/03/2007
Last updated
07/08/2007
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