Individual provider Active NPI

Genevieve Messick, M.D.

  • Emergency Medicine Physician
  • Powell, OH
National Provider Identifier
1710934807
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35057080-M Issued in OH
Practice address
10330 Sawmill Pkwy
Suite 300
Powell, OH 43065-7790
Phone
(614) 794-0481
Fax
(614) 794-3711
NPI assigned
May 27, 2006
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35057080-M OH Primary

Addresses

Primary practice location

10330 Sawmill Pkwy
Suite 300
Powell, OH 43065-7790

Mailing address

575 Copeland Mill Rd
Suite 1D
Westerville, OH 43081-8977
Phone (614) 794-0481

Other identifiers 1

IdentifierTypeStateIssuer
0747179MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000523 OH Practitioner - Emergency MedicinePractitioner - General Practice 0143202416 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057080-MOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Employer Services, LLC CurrentSince Nov 26, 2018 Accepting new patients
Pro-Active Wound Care Clinics LLC PastSince Feb 1, 2002 Accepting new patients

Locations

5555 Cleveland Ave
Columbus, OH 43231
Phone (614) 788-5280

Dept L3652
Columbus, OH 43260

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1710934807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COPELAND MILL RD",
            "address_2": "SUITE 1D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818977",
            "telephone_number": "614-794-0481",
            "fax_number": "614-794-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SAWMILL PKWY",
            "address_2": "SUITE 300",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657790",
            "telephone_number": "614-794-0481",
            "fax_number": "614-794-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSICK",
        "first_name": "GENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35057080-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.