Dr Esan Odell Simon, MD, MBA - General Practice in Clearwater, FL

Dr Esan Odell Simon, MD, MBA is a General Practice physician based in Clearwater, Florida. Dr Esan Odell Simon is licensed to practice in Virginia (license number 0101102764) and his current practice location is 15100 Rescue Way, Uscg Air Station Clearwater Medical Clinic, Clearwater, Florida. He can be reached at his office (for appointments etc.) via phone at (727) 535-1437.

NPI number for Dr Esan Odell Simon is 1841276433 and his current mailing address is 15100 Rescue Way, Uscg Air Station Clearwater Medical Clinic, Clearwater, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841276433.

Contact Information

Dr Esan Odell Simon, MD, MBA
15100 Rescue Way, Uscg Air Station Clearwater Medical Clinic,
Clearwater, FL 33762-3502
(727) 535-1437
(727) 535-4190

Map and Direction




Physician's Profile

Full NameDr Esan Odell Simon
GenderMale
SpecialityGeneral Practice
Location15100 Rescue Way, Clearwater, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841276433
  • Provider Enumeration Date: 12/16/2005
  • Last Update Date: 07/22/2013

Medical Identifiers

Medical identifiers for Dr Esan Odell Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841276433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101102764 (Virginia)Secondary
208D00000XGeneral Practice 0101102764 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Esan Odell Simon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Esan Odell Simon, MD, MBA
15100 Rescue Way, Uscg Air Station Clearwater Medical Clinic,
Clearwater, FL 33762-3502

Ph: (727) 535-1437
Dr Esan Odell Simon, MD, MBA
15100 Rescue Way, Uscg Air Station Clearwater Medical Clinic,
Clearwater, FL 33762-3502

Ph: (727) 535-1437

Reviews and Comments


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