Provider Demographics
NPI:1316943897
Name:SIMON, JANET E (DPM)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:E
Last Name:SIMON
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Gender:F
Credentials:DPM
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Mailing Address - Street 1:4343 PAN AMERICAN FWY NE
Mailing Address - Street 2:STE 234
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-6834
Mailing Address - Country:US
Mailing Address - Phone:505-880-1000
Mailing Address - Fax:505-880-1002
Practice Address - Street 1:8300 CARMEL AVE NE
Practice Address - Street 2:STE 501
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122-3125
Practice Address - Country:US
Practice Address - Phone:505-797-1001
Practice Address - Fax:505-828-1571
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2022-08-29
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Provider Licenses
StateLicense IDTaxonomies
NM223213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM005430OtherBLUE CROSS BLUE SHIELD
NM25842OtherPRESBYTERIAN HEALTH PLAN
NM000F6176Medicaid
NMT89170Medicare UPIN