Healthcare Provider Details

I. General information

NPI: 1184854770
Provider Name (Legal Business Name): ELIZABETH ANN MESSOM PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH ANN PAROSMCANENY

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 08/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1086 FRANKLIN STREET DEPT OF EMERGENCY MEDICINE
JOHNSTOWN PA
15905
US

IV. Provider business mailing address

1086 FRANKLIN STREET DEPT OF EMERGENCY MEDICINE
JOHNSTOWN PA
15905
US

V. Phone/Fax

Practice location:
  • Phone: 814-244-9398
  • Fax: 814-534-9975
Mailing address:
  • Phone: 814-244-9398
  • Fax: 814-410-8331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA005748
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA053936
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA053936
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: