Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mishel Simoni, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447836549

Mishel Simoni, MD is a Family Practice in Waverly, Ohio. Qualified in 2020, 6 years ago. Practices with Adena Medical Group LLC, a 377-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12340 State Route 104
Waverly, OH 45690-8968
Phone: (740) 941-5180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4461 State Route 159 Ste A, Chillicothe, OH 45601-6000 — (740) 779-4900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.150639 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447836549
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2021
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address12340 State Route 104, Waverly, OH 45690-8968

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Adena Medical Group Llc — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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