Frantz Merveilleux Simon
Anesthesiologist Assistant in Green Bay, WI. Individual provider (NPI-1).
NPI number1396566030
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1396566030
- Entity type
- Individual (NPI-1)
- Name
- Frantz Merveilleux Simon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2024
- Certification date
- May 21, 2025
- Last updated
- May 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY ASSISTANT
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 583-17 | WI | Yes |
Practice location
744 S Webster AveGreen Bay, WI 54301-3505
Phone 920-433-3605 · Fax 920-433-3589
Mailing address
1913 Browning RdMadison, WI 53704-3003
Phone 920-659-8396
Other practice locations
4108 N Richards St
Milwaukee, WI 53212-1012
Milwaukee, WI 53212-1012
Phone 920-659-8396
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Anesthesiologist Assistant providers in Green Bay · All 5,539 providers in Green Bay
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