Healthcare Provider Details

I. General information

NPI: 1790779494
Provider Name (Legal Business Name): WILLIAM ROBERT SIMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 04/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 BROOKS LN STE 180
JEFFERSON HILLS PA
15025-3747
US

IV. Provider business mailing address

1200 BROOKS LN STE 180
JEFFERSON HILLS PA
15025-3747
US

V. Phone/Fax

Practice location:
  • Phone: 412-469-3600
  • Fax: 412-469-3630
Mailing address:
  • Phone: 412-469-3600
  • Fax: 412-469-3630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD044208E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD044208E
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD044208E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: