Healthcare Provider Details

I. General information

NPI: 1750340006
Provider Name (Legal Business Name): ROBIN LOUISE SIMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 LYSLE BLVD MCKEESPORT FAMILY HEALTH CENTER
MCKEESPORT PA
15132
US

IV. Provider business mailing address

7227 HAMILTON AVE PRIMARY CARE HEALTH SERVICES INC
PITTSBURGH PA
15208
US

V. Phone/Fax

Practice location:
  • Phone: 417-664-4112
  • Fax: 412-664-0290
Mailing address:
  • Phone: 412-244-4700
  • Fax: 412-244-4992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD028321E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0977239
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: