MR. SCOTT G SIMS PA-C NPI 1497925135

NPI Information

  • NPI: 1497925135
  • Provider Name: MR. SCOTT G SIMS, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3640 NW SAMARITAN DR STE 120
    CORVALLIS, OR
    ZIP 97330
  • Phone: (541) 768-5223

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NPI Details

MR. Scott G Sims, PA-C is a surgical physician assistant in Corvallis, OR with 19 years of experience. MR. Scott G Sims, PA-C NPI is 1497925135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3640 NW SAMARITAN DR STE 120
CORVALLIS, OR
ZIP 97330-738
Phone: (541) 768-5223

The NPI 1497925135 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/10/2008 and was last updated on 4/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA179815OREGONYes
2363AS0400XPhysician AssistantSurgical3418COLORADONo
3363AS0400XPhysician AssistantSurgical0110002857VIRGINIANo
4363AS0400XPhysician AssistantSurgical002083CONNECTICUTNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11497925135MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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