Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407978703 Individual Practitioner Female Practitioner

Dr. Amy M Simon , MD

Surgery - Plastic and Reconstructive Surgery • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Dr. Amy Simon, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Melbourne, FL. Practice services are available at 707 W EAU GALLIE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

707 W Eau Gallie Blvd

Melbourne, FL 329355958

Telephone 3217273223
Associated Practice Facility / Clinic
🏢 Bermax Ii Llc Facility NPI 1326374901

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Melbourne, FL (258 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License FL ME88562

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
014537400 (FL)

Secondary Practice Locations

135 N Grove St

Merritt Island, FL 329533441

Phone: 3217273223

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jurry Om , FNP

Nurse Practitioner - Family

NPI 1053969014

Family Nurse Practitioner

Dr. Christopher Hess , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1235205352

Doctor of Medicine (M.D.)

Dr. John Varner , DDS, MD

Surgery - Plastic and Reconstructive Surgery

NPI 1346759222

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Ross Clevens , MD

Plastic Surgery - Plastic Surgery Within the Head and Neck

NPI 1538140231

Doctor of Medicine (M.D.)

Brian Benson , PA-C

Physician Assistant - Surgical

NPI 1760523393

Physician Assistant (Certified)

Samira Caraballo

Surgery - Plastic and Reconstructive Surgery

NPI 1770134231

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address June 25, 2018

Registered at 707 W EAU GALLIE BLVD, MELBOURNE, FL 329355958 (Tel: 3217273223)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2018

Surgery (License #ME88562 in FL)

📍
Updated Business Mailing Address May 03, 2018

Registered at 2115 SIERRA ST, MELBOURNE, FL 329352180 (Tel: 6158154729)

👤
Provider Name / Credentials Updated May 03, 2018

Recorded as AMY SIMON, MD

NPI Profile Active May 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2015

Registered at 707 W EAU GALLIE BLVD, MELBOURNE, FL 329355958 (Tel: 3217273223)

📍
Updated Business Mailing Address May 28, 2015

Registered at 100 COVEY DR, SUITE 310, FRANKLIN, TN 370675665 (Tel: 6154680100)

👤
Provider Name / Credentials Updated May 28, 2015

Recorded as AMY ORTEGA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2015

Plastic Surgery (License #ME88562 in FL)

🟢
Initial NPI Registration & Enumeration April 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407978703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2007
Last Update: June 25, 2018
Sole Proprietor: No

Mailing Address

707 W Eau Gallie Blvd

Melbourne, FL 329355958

Phone: 3217273223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.