Provider Demographics
NPI:1073519203
Name:SIMS, WILLIAM LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LOUIS
Last Name:SIMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:429 WEST ELM
Mailing Address - Street 2:ELKVIEW GENERAL HOSPITAL
Mailing Address - City:HOBART
Mailing Address - State:OK
Mailing Address - Zip Code:73651-1615
Mailing Address - Country:US
Mailing Address - Phone:580-726-1900
Mailing Address - Fax:580-726-1984
Practice Address - Street 1:407 W FOREST LN
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-1645
Practice Address - Country:US
Practice Address - Phone:580-726-5673
Practice Address - Fax:580-726-2416
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9800390208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891132RMedicaid
NC1132OtherBCBS
NC1132OtherBCBS
NCF78530Medicare UPIN