MEDICARE: MAKSIM SIMAKHODSKIY LMT

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	225700000X	Massage Therapist	M02464	MD

General Provider Information

NPI Number	:	1306447925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKSIM SIMAKHODSKIY LMT

Provider Business Mailing Address
First Line	:	1613 ELKWOOD CT
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21409-5486
Country	:	US
Telephone Number	:	443-604-8824
Fax Number	:

Provider Business Practice Location Address
First Line	:	1328 WAUGH CHAPEL WAY
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054
Country	:	US
Telephone Number	:	410-721-3533
Fax Number	:

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

Provider Enumeration Date	:	11/02/2020
Last Update Date	:	11/02/2020

Similar Medicare Providers

1467311001 — JOHN PAUL MERCADO SANCHEZ NP
Practice Location Address:

1553 WITCHHAZEL CIR
GAMBRILLS, MD
21054-1364

Practice Phone: 443-808-5066
Practice Fax:

1891654109 — CENTREPOINTE COUNSELING
Practice Location Address:

1306 RIEDEL RD
GAMBRILLS, MD
21054-1624

Practice Phone: 800-491-5369
Practice Fax:

1528917630 — ADVITA HEALTH LLC
Practice Location Address:

1221 WAUGH CHAPEL RD
GAMBRILLS, MD
21054-1608

Practice Phone: 410-923-2020
Practice Fax:

1780448498 — ALEESA BUSCIGLIO FNP
Practice Location Address:

2010 BASIL HALL CT
GAMBRILLS, MD
21054-2157

Practice Phone: 443-878-8971
Practice Fax:

1962680645 — MRS. KATHERINE ANN BONINCONTRI LCPC
Practice Location Address:

741 ANNAPOLIS RD
GAMBRILLS, MD
21054-1308

Practice Phone: 410-975-0067
Practice Fax: 410-975-0204

1023976040 — BLAIR MARIE ROHAN RN
Practice Location Address:

1071 MD RT 3 N STE 202
GAMBRILLS, MD
21054-1784

Practice Phone: 443-517-3330
Practice Fax:

1508866336 — DR. DAVID CONRAD ANDERSON M.D.
Practice Location Address:

2401 BRANDERMILL BLVD , SUITE 360
GAMBRILLS, MD
21054-1690

Practice Phone: 410-721-9862
Practice Fax: 410-721-9865

Directions to “ MAKSIM SIMAKHODSKIY LMT” 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.