Sophia A Sibold, D.O.
Individual provider Active NPI Family Medicine Physician · Union, WV
NPI 1366440661 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1366440661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2102 (WV)
- Practice address
- 200 Health Center Drive
Union, WV 24983-0000 - Phone
- (304) 772-3064
- Fax
- (304) 772-3296
- NPI assigned
- Jul 11, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 8
Medicare Care Compare profile
- 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 Trustees
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
- Home Care Plus, Incorporated
- Adoration Home Health
- Camc Greenbrier Valley Medical Center, Inc
- Princeton Community Hospital Assn Inc
- Carilion Giles Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050122000024 | VA | Practitioner - Family Practice | 3476502964 | Reassigns benefits to 1 organization |
| I20050315000160 | WV | Practitioner - Family Practice | 3476502964 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe County Health Center Board of Trustees | Current |
Accepting new patients | |
| Monroe County Health Center Board of Trustees | Current |
Accepting new patients | |
| Monroe County Health Center Board of Trustees | Current | 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) 863-6390
142 James Monroe Dr
Lindside, WV 24951
Phone (304) 753-5940
200 Health Center Dr
Union, WV 24983
Phone (304) 772-3064
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2102 | WV | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAA104451 | Other | VA | GROUP PTAN |
| 8130658 | Other | WV | MAMSI |
| 001714321 | Other | WV | BC/BS |
| 176557 | Other | WV | ANTHEM BC/BS-UNION |
| 176558 | Other | WV | PETERSTOWN |
| 3810001719 | Medicaid | WV | |
| 5611053 | Other | WV | AETNA |
| P00206497 | Other | WV | RAILROAD MEDICARE |
Other names
- Dr. Sophia A Simms
Other providers in Union, WV
- Kathleen Mundell
- Panucci Orthodontics, PLLC
- Peterstown Wellness Center
- Candace R Sabol
- Morgan Sams
- Dede R Talbott
- Katherine Tharp
- Jessica Ren'Ee Thomas
- Trinity Physical Therapy and Wellness Center LLC
- Union Rescue & Monroe Transp Ambulance Service Inc
All providers in Union, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.