Healthcare Provider Details

I. General information

NPI: 1528295433
Provider Name (Legal Business Name): JAMES A. SIMS, M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2009
Last Update Date: 06/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 E. DOROTHY LANE SUITE 200
KETTERING OH
45429
US

IV. Provider business mailing address

1563 E. DOROTHY LANE, SUITE 200
KETTERING OH
45429
US

V. Phone/Fax

Practice location:
  • Phone: 937-294-8500
  • Fax: 937-643-3495
Mailing address:
  • Phone: 937-294-8500
  • Fax: 937-643-3495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES A. SIMS
Title or Position: CEO
Credential: M.D.
Phone: 937-294-8500