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NPI Code Detail

MEDICARE: MICHAEL J MESSINA DO

MEDICARE: MICHAEL J MESSINA 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
1207V00000XObstetrics & Gynecology Physician02002286AIN

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 : 1972599421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J MESSINA DO
Provider Business Mailing Address
First Line : 1040 SIERRA DR
Second Line : STE 400
City : GREENWOOD
State : IN
Zip : 46143-7240
Country : US
Telephone Number : 317-528-4248
Fax Number : 317-865-8314
Provider Business Practice Location Address
First Line : 3500 FRANCISCAN WAY STE 300
Second Line :
City : MICHIGAN CITY
State : IN
Zip : 46360-0021
Country : US
Telephone Number : 219-879-6531
Fax Number : 219-878-8331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 03/13/2021

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