Provider Demographics
NPI:1104842012
Name:MESSINA, DOUGLAS FRANK (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:FRANK
Last Name:MESSINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7307
Mailing Address - Country:US
Mailing Address - Phone:910-617-6705
Mailing Address - Fax:910-431-4048
Practice Address - Street 1:1717 SHIPYARD BLVD
Practice Address - Street 2:SUITE 350
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-8023
Practice Address - Country:US
Practice Address - Phone:910-799-0110
Practice Address - Fax:910-799-1958
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9701064174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891040HMedicaid
NC8780209OtherCIGNA PROVIDER NUMBER
NC1040HOtherBCBS OF NC PROVIDER NUMBE
NC0928871OtherUNITED HEALTHCARE
NCG34745Medicare UPIN
NC2238885Medicare ID - Type Unspecified