Active NPI
Messerly Surgical Care PC
- Surgery Physician
- Manchester, IA
National Provider Identifier
1871782482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2484
- Legal business name
- MESSERLY SURGICAL CARE PC
- Practice address
- 709 W Main St
Suite 187
Manchester, IA 52057-1526 - Phone
- (563) 927-7401
- NPI assigned
- Oct 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randall Messerly, D.O.
- Title
- Physician
- Phone
- (563) 927-7401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2484 | IA | Primary |
Addresses
Primary practice location
709 W Main St
Suite 187
Manchester, IA 52057-1526
Mailing address
709 W Main St
Manchester, IA 52057-1526
Phone (563) 927-7401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD4760 | Other | IA | RAILROAD MEDICARE |
| 2070540 | Medicaid | IA | |
| 38014 | Other | IA | BCBS |
National Provider Directory
National Provider DirectoryLocations
1015 Union St
#316
Boone, IA 50036
Phone (515) 433-8700
709 W Main St
Ste 187
Manchester, IA 52057
Phone (563) 927-7401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327017600000",
"number": "1871782482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520571526",
"telephone_number": "563-927-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W MAIN ST",
"address_2": "SUITE 187",
"city": "MANCHESTER",
"state": "IA",
"postal_code": "520571526",
"telephone_number": "563-927-7401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESSERLY SURGICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-19",
"last_updated": "2012-01-20",
"status": "A",
"authorized_official_last_name": "MESSERLY",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "563-927-7401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "IA",
"license": "2484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD4760",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2070540",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "38014",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.