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General NPI Number Information
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NPI Number | 1366552606
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Entity Type | Individual
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Provider Name | ERIK MESSAMORE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 4075 OLD WESTERN ROW RD LINDNER CENTER OF HOPE
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City | MASON
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State | OH
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Zip | 45040-3104
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Country | US
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Telephone | 513-536-0603
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Fax | 513-536-0459
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Provider Business Mailing Address
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Address Line | 4075 OLD WESTERN ROW RD
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City | MASON
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State | OH
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Zip | 45040-3104
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Country | US
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Telephone | 513-536-0603
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Fax | 513-536-0459
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD21197
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.122700
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License Number State | OH
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