Jason W Sims (NPI# 1649460197, PAC ID# 2769541085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1649460197 |
PAC ID by PECOS | 2769541085 |
Professional Enrollment ID | I20081031000346 |
Full Name | Jason W Sims |
Organization Legal Name | CLEVELAND AREA HOSPITAL AUTHORITY |
Address |
1400 W Pawnee St Lake Area Medical Associates Cleveland OK 74020-3020 |
Phone Number | 9183583588 |
Gender | M |
Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
Graduation Year | 2006 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 3476615733 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
371320 | CLEVELAND AREA HOSPITAL |
Address | Phone | Organization |
---|---|---|
1400 W Pawnee St, Lake Area Medical Associates, Cleveland, OK 74020-3020 | 9183583588 | CLEVELAND AREA HOSPITAL AUTHORITY |
1400 W Pawnee St, Lake Area Medical Associates, Cleveland, OK 74020-3020 | CLEVELAND AREA HOSPITAL HOLDINGS INC | |
1401 W Pawnee St, Cleveland Area Hospital Professiona, Cleveland, OK 74020-3033 | 9183582501 | CLEVELAND AREA HOSPITAL HOLDINGS INC |
Organization Legal Name | CLEVELAND AREA HOSPITAL AUTHORITY |
Physicians | 1 |
Street Address |
1400 W PAWNEE ST LAKE AREA MEDICAL ASSOCIATES |
City | CLEVELAND |
State | OK |
Zip | 74020-3020 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie Elise Letney | Family Medicine | Cleveland Area Hospital Holdings Inc | 1400 W Pawnee St, Lake Area Medical Associates, Cleveland, OK 74020-3020 |
Andrew P Crow | Family Medicine | Cleveland Area Hospital Holdings Inc | 1400 W Pawnee St, Lake Area Medical Associates, Cleveland, OK 74020-3020 |
Shaun Scott Jung-peters | Family Medicine | Cleveland Area Hospital Holdings Inc | 1400 W Pawnee St, Lake Area Medical Associates, Cleveland, OK 74020-3020 |
Hae-jean Jung-peters | Family Medicine | Cleveland Area Hospital Holdings Inc | 1400 W Pawnee St, Lake Area Medical Associates, Cleveland, OK 74020-3020 |
Charles S O Leary | Physician Assistant | Cleveland Area Hospital Holdings Inc | 1400 W Pawnee St, Lake Area Medical Associates, Cleveland, OK 74020-3020 |
Vickie L Mcbee | Physician Assistant | Cleveland Area Hospital Holdings Inc | 1400 W Pawnee St, Lake Area Medical Associates, Cleveland, OK 74020-3020 |
Name | Specialty | Organization | Address |
---|---|---|---|
Billy D Schumpert | Family Medicine | Cleveland Area Hospital Holdings Inc | 1401 W Pawnee St, Cleveland Area Hospital Professiona, Cleveland, OK 74020-3033 |
Karen L Williams | Nurse Practitioner | Cleveland Area Hospital Holdings Inc | 1401 W Pawnee St, Cleveland Area Hospital Professiona, Cleveland, OK 74020-3033 |
Michael S Scalf | Physician Assistant | Cleveland Area Hospital Holdings Inc | 1401 W Pawnee St, Cleveland Area Hospital Professiona, Cleveland, OK 74020-3033 |
Ashley Nichole Cornett | Physician Assistant | Ahs Oklahoma Heart LLC | 100 N Hickerson Dr, Okla Heart Institute, Cleveland, OK 74020-4003 |
Shawna R Shipman | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 100 N Hickerson Dr, Cleveland Family Practice, Cleveland, OK 74020-4003 |
Perry William Evans Jr. | Family Medicine | 119 S Broadway St, Cleveland, OK 74020-4614 | |
Gregory Allen Fielding | Optometry | 107 S Broadway, Cleveland, OK 74020-4614 | |
Sampson J Blythe | Chiropractic | 312 S Broadway, Cleveland, OK 74020-5216 |
City | CLEVELAND |
Zip Code | 74020 |
Specialty | FAMILY PRACTICE |
City + Specialty | CLEVELAND + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.