Individual
DR. NICHOLAS MARK MESSAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 N 12TH ST, OSKALOOSA, IA 52577-2495
(641) 672-3360
(641) 672-3366
Mailing address
410 N 12TH ST, OSKALOOSA, IA 52577-2495
(641) 672-3360
(641) 672-3366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27198
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
TRICARE
—
01
—
080123337
RR MEDICARE
—
01
—
16D0950498
CLIA
—
01
—
46158
BLUE CROSS BLUE SHIELD
IA
01
—
5008800001
CMS
—
05
—
7050880
—
IA
01
—
7815
MIDLAND CHOICE
—
01
—
IA0101
JOHN DEERE
IA
Enumeration date
09/09/2005
Last updated
12/05/2012
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