Active NPI
Jerry A. Sims, M.D.
- Reproductive Endocrinology Physician
- Webster, TX
National Provider Identifier
1619925195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 16194
- Practice address
- 1015 Medical Center Blvd
Suite 2100
Webster, TX 77598-4052 - Phone
- (281) 332-0073
- Fax
- (281) 557-5837
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 16194 | OK | Primary |
Addresses
Primary practice location
1015 Medical Center Blvd
Suite 2100
Webster, TX 77598-4052
Mailing address
1015 Medical Center Blvd
Suite 2100
Webster, TX 77598-4052
Phone (281) 332-0073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16194 | OK | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1619925195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 MEDICAL CENTER BLVD",
"address_2": "SUITE 2100",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984052",
"telephone_number": "281-332-0073",
"fax_number": "281-557-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 MEDICAL CENTER BLVD",
"address_2": "SUITE 2100",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984052",
"telephone_number": "281-332-0073",
"fax_number": "281-557-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JERRY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "OK",
"license": "16194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.