MEDICARE: MAYA SIMS

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	172A00000X	Driver	JZN1312	OH

General Provider Information

NPI Number	:	1023903093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYA SIMS

Provider Business Mailing Address
First Line	:	7745 TIMBER AVE
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-1347
Country	:	US
Telephone Number	:	216-509-2582
Fax Number	:

Provider Business Practice Location Address
First Line	:	7745 TIMBER AVE
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-1347
Country	:	US
Telephone Number	:	216-509-2582
Fax Number	:

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

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/10/2025

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Directions to “ MAYA SIMS ” Practice Location

Language	Start Address	Practice Location

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