Provider Demographics
NPI:1437282084
Name:MITCHELL E. SIMONS, M.D., PSC
Entity Type:Organization
Organization Name:MITCHELL E. SIMONS, M.D., PSC
Other - Org Name:GREATER CINCINNATI PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-791-8038
Mailing Address - Street 1:20 N GRAND AVE
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-4106
Mailing Address - Country:US
Mailing Address - Phone:513-791-8038
Mailing Address - Fax:513-791-2680
Practice Address - Street 1:4243 HUNT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-6645
Practice Address - Country:US
Practice Address - Phone:513-791-8038
Practice Address - Fax:513-791-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies