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NPI Code Detail

MEDICARE: STEPHANIE MESSMER PA-C

MEDICARE: STEPHANIE MESSMER PA-C
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
1363A00000XPhysician Assistant10003267AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881219475
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MESSMER PA-C
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7400 N SHADELAND AVE STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2076
Country : US
Telephone Number : 317-621-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2020
Last Update Date : 03/06/2024

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Directions to “ STEPHANIE MESSMER PA-C” Practice Location

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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.

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