Individual
DR. MITCHELL E SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4243 HUNT RD, CINCINNATI, OH 45242-6645
(513) 794-5107
(513) 791-2680
Mailing address
4243 HUNT RD, CINCINNATI, OH 45242-6645
(513) 794-5107
(513) 791-2680
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21522
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
21522
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35050545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077084
ANTHEM - ANESTHESIOLOGY
—
01
—
000000364540
ANTHEM-PAIN MANAGEMENT
—
01
—
050073296
RAILROAD MEDICARE
KY
01
—
050074221
RAILROAD MEDICARE
OH
05
—
0628404
—
OH
01
—
164264200
ACS-DEPT OF LABOR
KY
01
—
164264900
ACS-DEPT OF LABOR
OH
01
—
2440820000
PASSPORT ADVANTAGE MCR MC
—
01
—
284326
AMERIGROUP MEDICAID MCO
OH
05
—
64215221
—
KY
Enumeration date
11/28/2006
Last updated
11/02/2016
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