Active NPI
Paul Sims, D.O.
- Emergency Medicine Physician
- Anchorage, AK
National Provider Identifier
1366460214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- AA1503
- Practice address
- 2801 Debarr Rd
Anchorage, AK 99508-2932 - Phone
- (907) 276-1131
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | AA1503 | AK | Primary |
Addresses
Primary practice location
2801 Debarr Rd
Anchorage, AK 99508-2932
Mailing address
PO Box 104140
Anchorage, AK 99510-4140
Phone (907) 561-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1503 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110202000660 | AK | Practitioner - Emergency Medicine | 9739369190 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1503 | AK | MD | Dentist |
| AA1503 | AK | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1366460214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 104140",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995104140",
"telephone_number": "907-561-9191",
"fax_number": "907-561-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 DEBARR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082932",
"telephone_number": "907-276-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "PAUL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AK",
"license": "AA1503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD1503",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.