Basic Information
| Provider Information | |||||||||
| NPI: | 1376003988 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIMEONE | ||||||||
| FirstName: | ANDREA | ||||||||
| MiddleName: | CHRISTINA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 55 ARCH ST STE 1B | ||||||||
| Address2: | |||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443041436 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303753315 | ||||||||
| FaxNumber: | 3303757779 | ||||||||
| Practice Location | |||||||||
| Address1: | 3780 MEDINA RD STE 310 | ||||||||
| Address2: | |||||||||
| City: | MEDINA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442569312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8665398277 | ||||||||
| FaxNumber: | 3307258442 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2019 | ||||||||
| LastUpdateDate: | 10/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35.145467 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.