Audrey M Sim PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AUDREY M SIM PLLC

Practice address

25915 Harper Ave Ste B
Saint Clair Shores, MI 48081-3770

Phone

(586) 872-2580

Fax

(586) 872-2689

NPI assigned

Aug 8, 2010

Last updated

Mar 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Audrey M Sim, MDNPI 1881604577

Title

President

Phone

(586) 872-2580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Audrey Mullin Sim, MD

  • Family Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1881604577
  Medicare reassignment NPD Authorized official
• Keith Raymond Hoffmann, MD

  • Family Medicine Physician
  • Warren, MI
  • NPI 1497853121
  NPD (past)

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1407161086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE STE B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-872-2580",
            "fax_number": "586-872-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE STE B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-872-2580",
            "fax_number": "586-872-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY M SIM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-08",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-872-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kareen Atienza, PT
• Denise Diane Aubry
• Audionet America - St Clair Shores LLC (Audionet Hearing Center)
• Conrad Martin Aumann II, PH.D.
• Axalan G Axalan, PHYSICAL THERAPIST
• Faten S Ayyoub, MD
• Dana Azzoug
• Jessie Gurleen Babra, M.D.

• Family Medicine Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.

Verify at the official NPI Registry.