Provider Demographics
NPI:1184606907
Name:SIMS, JAMES A (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:SIMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 SCHENCK AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2348
Mailing Address - Country:US
Mailing Address - Phone:937-294-1057
Mailing Address - Fax:
Practice Address - Street 1:3080 ACKERMAN BLVD
Practice Address - Street 2:STE 220
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-3555
Practice Address - Country:US
Practice Address - Phone:937-294-8500
Practice Address - Fax:937-643-3495
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35031139207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA75346Medicare UPIN
OH0412781Medicare PIN