MEDICARE: TAMYKA MARIE SIMMONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1689379471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMYKA MARIE SIMMONS

Provider Business Mailing Address
First Line	:	1325 ANSEL RD APT 305
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1082
Country	:	US
Telephone Number	:	216-624-7304
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 ANSEL RD APT 305
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1082
Country	:	US
Telephone Number	:	216-624-7304
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

Similar Medicare Providers

1629115779 — CHARLES MACK LEE STNA
Practice Location Address:

3919 E 147TH ST
CLEVELAND, OH
44128-1082

Practice Phone: 216-832-7732
Practice Fax:

1306940457 — MRS. LEIGHANNE KRAMER HUSTAK CNP
Practice Location Address:

10701 EAST BLVD
CLEVELAND, OH
44106-1702

Practice Phone: 216-791-3800
Practice Fax:

1659068930 — SOUTHWEST UROLOGY, LLC
Practice Location Address:

18099 LORAIN AVE STE 141
CLEVELAND, OH
44111-4411

Practice Phone: 216-941-0333
Practice Fax: 216-941-5257

1942398060 — DAVID LEE FRANZ LCSW
Practice Location Address:

1855 EXECUTIVE PARK NW
CLEVELAND, TN
37312-2735

Practice Phone: 423-479-5454
Practice Fax: 423-479-0403

1508105560 — HOUSSAM MHANNA M.D.
Practice Location Address:

2351 E 22ND ST
CLEVELAND, OH
44115-3111

Practice Phone: 216-861-6200
Practice Fax:

1144641382 — MISS LACEY C GREGO PA-C
Practice Location Address:

9500 EUCLID AVE
CLEVELAND, OH
44195-0001

Practice Phone: 216-347-9885
Practice Fax:

Directions to “ TAMYKA MARIE SIMMONS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.