MEDICARE: SLEEP DISORDER MEDICINE ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1891019634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP DISORDER MEDICINE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	1200 BROOKS LN STE 180
Second Line	:
City	:	JEFFERSON HILLS
State	:	PA
Zip	:	15025-3769
Country	:	US
Telephone Number	:	412-469-3600
Fax Number	:	412-469-3630

Provider Business Practice Location Address
First Line	:	1200 BROOKS LN STE 180
Second Line	:
City	:	JEFFERSON HILLS
State	:	PA
Zip	:	15025-3769
Country	:	US
Telephone Number	:	412-469-3600
Fax Number	:	412-469-3630

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM R SIMS
Credential	:	MD
Telephone Number	:	412-469-3600

Provider Enumeration Date	:	03/23/2010
Last Update Date	:	04/10/2018

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