Provider Demographics
NPI:1245268838
Name:VINARSKY, SIMON (MD)
Entity type:Individual
Prefix:
First Name:SIMON
Middle Name:
Last Name:VINARSKY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-339-3917
Mailing Address - Fax:319-358-2794
Practice Address - Street 1:540 E JEFFERSON ST STE 105
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2460
Practice Address - Country:US
Practice Address - Phone:319-339-3917
Practice Address - Fax:319-358-2794
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94705207RH0003X, 207RX0202X
MT102156207RH0003X, 207RX0202X
IAMD-49166207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276283800Medicaid
FL55737OtherBCBS OF FL
FLP00382943OtherRR MEDICARE
J03470Medicare UPIN
FL276283800Medicaid