Provider Demographics
NPI:1063486603
Name:SIMON, SHERYL R (MD)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:R
Last Name:SIMON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2602 WILMINGTON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1537
Mailing Address - Country:US
Mailing Address - Phone:724-658-7300
Mailing Address - Fax:724-658-8414
Practice Address - Street 1:2602 WILMINGTON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1537
Practice Address - Country:US
Practice Address - Phone:724-658-7300
Practice Address - Fax:724-658-8414
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2008-01-28
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Provider Licenses
StateLicense IDTaxonomies
PAMD034047E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC32223Medicare UPIN
PA157191Medicare ID - Type Unspecified