Basic Information
| Provider Information | |||||||||
| NPI: | 1619993474 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MESSICS | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 12622 | ||||||||
| Address2: | |||||||||
| City: | BELFAST | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049154017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4434816460 | ||||||||
| FaxNumber: | 4434816515 | ||||||||
| Practice Location | |||||||||
| Address1: | 821 W BENFIELD RD | ||||||||
| Address2: | SUITE 8 | ||||||||
| City: | SEVERNA PARK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211462220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107290660 | ||||||||
| FaxNumber: | 4107290599 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2006 | ||||||||
| LastUpdateDate: | 11/26/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | D0041588 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 283153 | 01 | MAMSI | OTHER | 37015221001 | 01 | CIGNA | OTHER | 0001 | 01 | BCBS | OTHER | 0401972 | 05 | MD | MEDICAID | 95691 | 05 | MD | MEDICAID | 9954 | 01 | KAISER | OTHER | 0054 | 01 | CAREFIRST DC | OTHER | 1807936 | 01 | UNITED HEALTHCARE | OTHER | 4401656 | 01 | AETNA PPO | OTHER | 155301100 | 05 | MD | MEDICAID | 2108450 | 01 | AETNA HMO | OTHER | 702517 | 01 | NCPPO | OTHER | 112466 | 01 | COVENTRY | OTHER | 52343309 | 01 | BCBS | OTHER | 030855 | 01 | JOHNS HOPKISN HEALTHCARE | OTHER | 52343301 | 01 | CAREFIRST MARYLAND | OTHER |