Charles R. Sims, MD PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

M3390 Issued in TX

Legal business name

CHARLES R. SIMS, MD PA

Practice address

101 Vision Park Blvd
Suite 100
Shenandoah, TX 77384-3011

Phone

(936) 273-5214

Fax

(936) 273-5926

NPI assigned

Jul 11, 2006

Last updated

Jan 8, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Ray Sims, MDNPI 1245281294

Title

President

Phone

(281) 825-1655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Sims, MD

  • Infectious Disease Physician
  • Shenandoah, TX
  • NPI 1245281294
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1114951373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 VISION PARK BLVD",
            "address_2": "SUITE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843011",
            "telephone_number": "936-273-5214",
            "fax_number": "936-273-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VISION PARK BLVD",
            "address_2": "SUITE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843011",
            "telephone_number": "936-273-5214",
            "fax_number": "936-273-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. SIMS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-825-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "M3390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CB West, LLC (Housecall Physio)
• Center for Change ASC
• Khalil Mohamad Chahine, MD
• Shaina Chancey
• Chaowen Wu, PLLC (Revel You)
• Maria Charron, M.D.
• Avais Murad Chatha, M.D.
• Claire Chauvin
• Taylor Chavours
• Carolyn Chen, MD

• Infectious Disease Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.