Active NPI
Stephen M. Sims, MD, PA
Doing business as North Lakes Pain Consultants
- Pain Medicine Physician
- Huntsville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- STEPHEN M. SIMS, MD, PA
- Doing business as
- North Lakes Pain Consultants
- Practice address
- 133 Medical Park LN
Ste B
Huntsville, TX 77340-4979 - Phone
- (936) 730-8833
- Fax
- (936) 730-8866
- NPI assigned
- Aug 7, 2006
- Last updated
- Dec 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen M Sims, M.D.
- Title
- Owner
- Phone
- (936) 730-8833
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
133 Medical Park LN
Ste B
Huntsville, TX 77340-4979
Mailing address
PO Box 621004
Dallas, TX 75262-1004
Phone (936) 756-3444
Other names 1
- North Lakes Pain Consultants
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070409000567 | TX | Part B Supplier - Clinic/Group Practice | 3476655499 |
Receives reassigned benefits from 5 practitioners Practice locations: Conroe, TX; Huntsville, TX |
| O20170817002448 | TX | DME Supplier - Physician - Interventional Pain Management | 3476655499 | Practice locations: Huntsville, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba North Lakes Pain Consultants
- Interventional Pain Medicine Physician
- Conroe, TX
- NPI 1316468952
3476655499
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2007010 | North Lakes Pain Consultants | Certificate of waiver | May 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
133 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 730-8833
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Pain Medicine Physician
- Huntsville, TX
- NPI 1083623136
-
- Family Nurse Practitioner
- Conroe, TX
- NPI 1306295332
-
- Physician Assistant
- Conroe, TX
- NPI 1336724947
-
- Pain Medicine Physician
- Huntsville, TX
- NPI 1174535033
-
- Pain Medicine Physician
- Huntsville, TX
- NPI 1922069186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1235148172",
"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": "936-756-3444",
"fax_number": "936-756-3452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 MEDICAL PARK LN",
"address_2": "STE B",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773404979",
"telephone_number": "936-730-8833",
"fax_number": "936-730-8866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN M. SIMS, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"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": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-730-8833",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, 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"
}
]
}
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- Stephen H Means O D & Associates (Huntsville Vision Center)
- Rebecca Janelle Stevens, FNP
- Courtney Paige Stockert, CCC-SLP
- Michelle Stone, MS, RDN, LD
- Walter L Stowe, PT
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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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.