Sean Robert Michael Sims, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA056472 Issued in PA

Practice address

20311 Lappans Rd Ste 100
Boonsboro, MD 21713-2037

Phone

(301) 432-8470

Fax

(301) 432-8470

NPI assigned

Nov 14, 2013

Last updated

Mar 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Malik & Qadir MD PA

  • Ph.D. Medical Genetics
  • Hagerstown, MD
  • NPI 1003979717
  Medicare reassignment
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Medical Practices of Antietam LLC

  • Clinic/Center
  • Hagerstown, MD
  • NPI 1710854963
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1821428673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412047",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 LAPPANS RD STE 100",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132037",
            "telephone_number": "301-432-8470",
            "fax_number": "301-432-8470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13424 Pennsylvania Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "21742",
            "country_code": "US",
            "telephone_number": "240-313-9890",
            "fax_number": "240-313-9891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Wallace Creek Road",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "28547",
            "country_code": "US",
            "telephone_number": "910-450-8328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13620 Crayton Boulevard",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "21742",
            "country_code": "US",
            "telephone_number": "240-313-9890",
            "fax_number": "240-313-9891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "SEAN",
        "middle_name": "ROBERT MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003146",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06711",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Mar Children's Home
• San Mar Community Services Inc.
• San Mar Inc
• Joseph J Scalese III
• Vivian S Sewell, LCPC, NCC, OTR/L
• Gina Sipes
• Angela M Sluzalis, LCSWC
• SM Rehab
• Aaron M. Smith, PTA
• Stephanie A Snyder, LCADC

• Physician Assistant in Boonsboro, MD
• Providers in Boonsboro, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.

Verify at the official NPI Registry.