MEDICARE: DR. ANDREW MICHAEL MESSINA DPM

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	213E00000X	Podiatrist	5951001345	MI
2	213E00000X	Podiatrist	5315210168	MI
3	213E00000X	Podiatrist	1972161016	MI
4	390200000X	Student in an Organized Health Care Education/Training Program
5	213E00000X	Podiatrist	07001470A	IN

General Provider Information

NPI Number	:	1972161016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW MICHAEL MESSINA DPM

Provider Business Mailing Address
First Line	:	411 PLAZA DR STE H
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-2918
Country	:	US
Telephone Number	:	888-499-5249
Fax Number	:	833-518-1995

Provider Business Practice Location Address
First Line	:	411 PLAZA DR STE H
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-2918
Country	:	US
Telephone Number	:	888-499-5249
Fax Number	:	833-518-1995

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

Provider Enumeration Date	:	06/04/2019
Last Update Date	:	07/25/2024

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