NPIMap

Individual provider Active NPI

Sophia A Sibold, D.O.

  • Family Medicine Physician
  • Union, WV
National Provider Identifier
1366440661
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2102 Issued in WV
Practice address
200 Health Center Drive
Union, WV 24983-0000
Phone
(304) 772-3064
Fax
(304) 772-3296
NPI assigned
Jul 11, 2005
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2102 WV Primary

Addresses

Primary practice location

200 Health Center Drive
Union, WV 24983-0000

Mailing address

PO Box 590
Union, WV 24983-0590
Phone (304) 772-3064

Other names 1

  • Dr. Sophia A Simms Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050122000024 VA Practitioner - Family Practice 3476502964 Reassigns benefits to 1 organization
I20050315000160 WV Practitioner - Family Practice 3476502964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe County Health Center Board of TrusteesGroup PAC ID 3173432671, shared by 8 NPIs, 19 clinicians

Practice addresses (Care Compare)

226 Market St
New Castle, VA 24127-6080
Phone (540) 864-6390

PO Box
Suite 590
Union, WV 24983

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Health Center Board of Trustees CurrentSince Mar 1, 2005 Accepting new patients
Monroe County Health Center, Board of Trustees CurrentSince Mar 1, 2005 Accepting new patients
Monroe County Health Center Board of Trustees CurrentSince Jan 27, 2011 Accepting new patients
Monroe County Health Center Board of Trustees Current Accepting new patients
Monroe County Health Center Past Accepting new patients

Locations

226 Market St
New Castle, VA 24127
Phone (540) 381-1153

142 James Monroe Dr
Lindside, WV 24951
Phone (304) 753-5940

200 Health Center Dr
Union, WV 24983
Phone (304) 772-3064

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71937

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1366440661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249830590",
            "telephone_number": "304-772-3064",
            "fax_number": "304-772-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CENTER DRIVE",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249830000",
            "telephone_number": "304-772-3064",
            "fax_number": "304-772-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBOLD",
        "first_name": "SOPHIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "SIMMS",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union, WV

Sources for this page

Verify at the official NPI Registry.