Provider Demographics
NPI:1316926298
Name:MESSER, JAMIE C (MD)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:C
Last Name:MESSER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:234 E GRAY ST STE 662
Mailing Address - Street 2:UNIVERSITY OF LOUISVILLE DEPARTMENT OF UROLOGY
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1921
Mailing Address - Country:US
Mailing Address - Phone:502-629-4224
Mailing Address - Fax:502-629-4223
Practice Address - Street 1:234 E GRAY ST STE 662
Practice Address - Street 2:UNIVERSITY OF LOUISVILLE DEPARTMENT OF UROLOGY
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1921
Practice Address - Country:US
Practice Address - Phone:502-629-4224
Practice Address - Fax:502-629-4223
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2012-08-06
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Provider Licenses
StateLicense IDTaxonomies
TXN9267208800000X
PAMD441099208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX281170501Medicaid
KY95003265Medicaid
TX281170502OtherCSHCN
TXTXB129438Medicare PIN
P43023Medicare UPIN
TX281170502OtherCSHCN