Provider Demographics
NPI:1972161016
Name:MESSINA, ANDREW MICHAEL (DPM)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MICHAEL
Last Name:MESSINA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 PLAZA DR STE H
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-2918
Mailing Address - Country:US
Mailing Address - Phone:888-499-5249
Mailing Address - Fax:833-518-1995
Practice Address - Street 1:411 PLAZA DR STE H
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-2918
Practice Address - Country:US
Practice Address - Phone:888-499-5249
Practice Address - Fax:833-518-1995
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5951001345213E00000X
MI5315210168213E00000X
MI1972161016213E00000X
390200000X
IN07001470A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program