Thomas Bullock Simon is a Holladay, Utah based male podiatrist with 6 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 2018. He is also affiliated with hospitals like Mckay Dee Hospital and St Mark's Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Thomas Bullock Simon for Podiatry is 12286299-0501 in Utah. Thomas Bullock Simon is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Thomas Bullock Simon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
6+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
2018
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
6405 S 3000 E Ste 300, Holladay, Utah, 84121-6977
Phone:
801-266-3113
Fax:
801-931-2166
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3274936299
Enrollment ID:
I20210728000632
NPI Number:
1356832398
NPI Enumeration Date:
25 May, 2018
NPI Last Update On:
05 Feb, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas Bullock Simon are as mentioned below.
License Number
Specialization
State
Status
12286299-0501
Podiatry
Utah
Primary
T17-2018
Podiatry
Texas
Secondary
12286299-0501
Podiatric Foot & Ankle Surgery
Utah
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Mckay Dee Hospital (460004)
Ogden, UT
Acute Care Hospital
St Mark's Hospital (460047)
Salt lake city, UT
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Thomas Bullock Simon is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Taylor G Wright Pc (8426362450)
30
Other Medical Identifiers:
Other legacy medical identifiers associated with Thomas Bullock Simon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4071953
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6405 S 3000 E Ste 300, Holladay, Utah
Zip:
84121-6977
Phone Number:
801-266-3113
Fax Number:
801-931-2166
Patients can reach Thomas Bullock Simon at 6405 S 3000 E Ste 300, Holladay, Utah or can call to book an appointment on 801-266-3113. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.