Mr. Simon Edwin Roselaar, MD
Mr. Simon Edwin Roselaar is a Cardiovascular Disease Physician provider (Internal Medicine) practicing in Appleton, WI, registered in the NPPES registry with NPI 1689626632 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689626632 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Simon Edwin Roselaar |
| Credential | MD |
| Sex | Male |
| Practice address | 5045 W GRANDE MARKET DR, Appleton, WI, 54913 |
| Phone | 9208869380 |
| Fax | 9208869381 |
| Enumeration date | 2006-05-17 |
| Last updated in NPPES | 2020-03-26 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | 40974-020 | WI |
| 207UN0901X | Nuclear Cardiology Physician | Secondary | 40974-020 | WI |
| 207RC0000X | Cardiovascular Disease Physician | Primary | 40974-020 | WI |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Simon Roselaar, MD NPI: 1689626632 Taxonomy: 207RC0000X (Cardiovascular Disease Physician) Address: 5045 W GRANDE MARKET DR, Appleton, WI, 54913
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831176338 | Thomas Tamlyn | Individual | Interventional Cardiology Physician | Appleton, WI |
| 1629045232 | Brian Guttormsen | Individual | Interventional Cardiology Physician | Appleton, WI |
| 1396703732 | Carrie Chapman | Individual | Cardiovascular Disease Physician | Appleton, WI |
| 1710937115 | Peter Ackell | Individual | Interventional Cardiology Physician | Appleton, WI |
| 1649220229 | Dionisio Mariano | Individual | Clinical Cardiac Electrophysiology Physician | Appleton, WI |
| 1386696987 | Glenn Huth | Individual | Cardiovascular Disease Physician | Appleton, WI |
| 1104878149 | Douglas Mielke | Individual | Interventional Cardiology Physician | Appleton, WI |
| 1801971221 | Patrick Mannebach | Individual | Cardiovascular Disease Physician | Appleton, WI |
Verify this record
Cross-check NPI 1689626632 against the authoritative CMS record: view Mr. Simon Edwin Roselaar on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-26.