NPIMap

Organization Active NPI

Stephen M. Sims, MD, PA

Doing business as North Lakes Pain Consultants

  • Interventional Pain Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1154976025
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
STEPHEN M. SIMS, MD, PA
Doing business as
North Lakes Pain Consultants
Practice address
17189 I 45 S Ste 265
Shenandoah, TX 77385-3323
Phone
(936) 647-1469
Fax
(936) 242-1274
NPI assigned
Aug 7, 2019
Last updated
Dec 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Stephen Michael Sims, MDNPI 1083623136
Title
Owner
Phone
(936) 756-3464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

17189 I 45 S Ste 265
Shenandoah, TX 77385-3323

Mailing address

PO Box 621004
Dallas, TX 75262-1004
Phone (936) 756-3464

Other names 1

  • North Lakes Pain Consultants Doing business as

National Provider Directory

National Provider Directory

Locations

133 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 730-8833

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1154976025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621004",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752621004",
            "telephone_number": "936-756-3464",
            "fax_number": "936-267-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 I 45 S STE 265",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853323",
            "telephone_number": "936-647-1469",
            "fax_number": "936-242-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. SIMS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-756-3464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Lakes Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Lakes Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.