Provider Demographics
NPI:1750340006
Name:SIMS, ROBIN LOUISE (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LOUISE
Last Name:SIMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7227 HAMILTON AVE
Mailing Address - Street 2:PRIMARY CARE HEALTH SERVICES INC
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208
Mailing Address - Country:US
Mailing Address - Phone:412-244-4700
Mailing Address - Fax:412-244-4992
Practice Address - Street 1:627 LYSLE BLVD
Practice Address - Street 2:MCKEESPORT FAMILY HEALTH CENTER
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132
Practice Address - Country:US
Practice Address - Phone:417-664-4112
Practice Address - Fax:412-664-0290
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028321E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0977239Medicaid
S1413634Medicare ID - Type Unspecified
PA0977239Medicaid