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

Individual provider Physician Assistant · NPI 1649681669

Stephan Simon, PA-C is a Physician Assistant in Wynnewood, Pennsylvania. Qualified in 2013, 13 years ago. Accepts Medicare assignment.

Years since qualifying
13
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 E Lancaster Ave Ste 280
Wynnewood, PA 19096-3450
Phone: (610) 642-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1649681669
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020
Mailing address100 E Lancaster Ave Ste 280, Wynnewood, PA 19096-3450

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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