Active NPI
Stephen Anthony Messana, D.O.
- Nuclear Radiology Physician
- Saginaw, MI
National Provider Identifier
1407919202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- L772520
- Practice address
- 2809 Emerald Park
Saginaw, MI 48603-6155 - Phone
- (989) 498-4053
- Fax
- (989) 498-4052
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | L772520 | MI | Primary |
Addresses
Primary practice location
2809 Emerald Park
Saginaw, MI 48603-6155
Mailing address
2809 Emerald Park
Saginaw, MI 48603-6155
Phone (989) 498-4053
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00300798 | Other | MI | RAILROAD MEDICARE |
| 4926274 | Medicaid | MI | |
| 3157300774 | Other | MI | BCBS OF MI |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L772520 | MI | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesys Integrated Group Practice PC | Past | Accepting new patients | |
| Genesee Medical Imaging PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nuclear Radiology Physician
- Saginaw, MI
- NPI 1154498467
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- Grand Blanc, MI
- NPI 1184869349
-
- Nurse Practitioner
- Flint, MI
- NPI 1386782381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407919202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 EMERALD PARK",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486036155",
"telephone_number": "989-498-4053",
"fax_number": "989-498-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 EMERALD PARK",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486036155",
"telephone_number": "989-498-4053",
"fax_number": "989-498-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSANA",
"first_name": "STEPHEN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MI",
"license": "L772520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00300798",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4926274",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "3157300774",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.