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1619170214

NPI Code Detail

MEDICARE: KYLE J. MESSICK MD

MEDICARE: KYLE J. MESSICK MD

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
1	207X00000X	Orthopaedic Surgery Physician	MD433891	PA
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	0101241179	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	209955	OTHER	PA	JOHNS HOPKINS
2	1571814	OTHER	PA	GATEWAY-WMG
3	50077882	OTHER	PA	CAPITAL BLUE CROSS-WMG
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	118477	OTHER	PA	GEISINGER HEALTH PLAN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	243326	OTHER	PA	UNISON-WMG
8	0911193	OTHER	PA	AETNA
9	20076180	OTHER	PA	AMERIHEALTH MERCY-WMG
10	929010-01	OTHER	MD	CAREFIRST MD BCBS
11	2038928	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1619170214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE J. MESSICK MD

Provider Business Mailing Address
First Line	:	1803 MOUNT ROSE AVE
Second Line	:	SUITE B3
City	:	YORK
State	:	PA
Zip	:	17403-3026
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:	717-339-2502

Provider Business Practice Location Address
First Line	:	18 DEATRICK DRIVE
Second Line	:
City	:	GETTYSBURG
State	:	PA
Zip	:	17325-6958
Country	:	US
Telephone Number	:	717-339-2500
Fax Number	:	717-339-2502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2007
Last Update Date	:	11/19/2010

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Directions to “ KYLE J. MESSICK MD” Practice Location

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