Active NPI
Michael Eugene Sims, PA-C
- Medical Physician Assistant
- Camp Hill, PA
National Provider Identifier
1780604181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA001841L
- Practice address
- 4400 Carlisle Pike
Camp Hill, PA 17011-4132 - Phone
- (717) 975-9800
- Fax
- (717) 975-5509
- NPI assigned
- Jul 20, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001000165 | NC | |
| Medical Physician Assistant | 363AM0700X | MA001841L | PA | Primary |
| Physician Assistant | 363A00000X | MA001841L | PA |
Addresses
Primary practice location
4400 Carlisle Pike
Camp Hill, PA 17011-4132
Mailing address
5 Teaberry Dr
Carlisle, PA 17015-9042
Phone (717) 265-3245
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001000165 | NC | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1780604181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TEABERRY DR",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170159042",
"telephone_number": "717-265-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 CARLISLE PIKE",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114132",
"telephone_number": "717-975-9800",
"fax_number": "717-975-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "MICHAEL",
"middle_name": "EUGENE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "001000165",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA001841L",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA001841L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.