MEDICARE: DR. JOSEPH A. SIMS DO

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	207Q00000X	Family Medicine Physician	2007004102	MO
2	207Q00000X	Family Medicine Physician	K2593	TX
3	207Q00000X	Family Medicine Physician	OS011911	PA

General Provider Information

NPI Number	:	1750571592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH A. SIMS DO

Provider Business Mailing Address
First Line	:	500 WESTOVER DR # 11112
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-8941
Country	:	US
Telephone Number	:	631-380-8050
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 BLUEBIRD VW UNIT 1106
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2258
Country	:	US
Telephone Number	:	631-380-8050
Fax Number	:

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

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	11/05/2023

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