Individual provider Active NPI

Divo Messori, MD

  • Gastroenterology Physician
  • Flourtown, PA
National Provider Identifier
1366496226
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD026280L Issued in PA
Practice address
1811 Bethlehem Pike
Flourtown, PA 19031-1111
Phone
(215) 402-0800
Fax
(215) 836-2429
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD026280L PA Primary

Addresses

Primary practice location

1811 Bethlehem Pike
Flourtown, PA 19031-1111

Mailing address

1811 Bethlehem Pike
Flourtown, PA 19031-1111
Phone (215) 402-0800

Other identifiers 1

IdentifierTypeStateIssuer
0637470MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1366496226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-402-0800",
            "fax_number": "215-836-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311111",
            "telephone_number": "215-402-0800",
            "fax_number": "215-836-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSORI",
        "first_name": "DIVO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD026280L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0637470",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flourtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.