Active NPI
William Scott Sims, PA-C
- Physician Assistant
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3609 Maple Ridge CT
Oklahoma City, OK 73120-8904 - Phone
- (405) 982-8130
- NPI assigned
- Apr 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3609 Maple Ridge CT
Oklahoma City, OK 73120-8904
Mailing address
1024 W Connell Ave
Stillwater, OK 74075-4607
Phone (918) 335-7410
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scott@stanbrohealthcaregroup.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Oklahoma College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 W Britton Rd
Variety Care
Oklahoma City, OK 73114-2909
Phone (405) 632-6688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Variety Care, Inc. | Current | Accepting new patients | |
| Variety Care, Inc. | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
2000 E 15th St
Ste 400A
Edmond, OK 73013
Phone (405) 341-1697
3000 N Grand Blvd
Oklahoma City, OK 73107
Phone 405632668810209
721 W Britton Rd
Oklahoma City, OK 73114
Phone (405) 607-5757
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1780697813
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1770826661
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1942045455
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1053602185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 W CONNELL AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740754607",
"telephone_number": "918-335-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 MAPLE RIDGE CT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208904",
"telephone_number": "405-982-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "WILLIAM",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-23",
"last_updated": "2021-01-14",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "scott@stanbrohealthcaregroup.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3609 Maple Ridge Ct",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731208904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.