Provider Demographics
NPI:1619993474
Name:MESSICS, SHARON (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:MESSICS
Suffix:
Gender:F
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:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-6460
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:821 W BENFIELD RD
Practice Address - Street 2:SUITE 8
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-2220
Practice Address - Country:US
Practice Address - Phone:410-729-0660
Practice Address - Fax:410-729-0599
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0041588207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
283153OtherMAMSI
37015221001OtherCIGNA
0001OtherBCBS
MD0401972Medicaid
MD95691Medicaid
9954OtherKAISER
0054OtherCAREFIRST DC
1807936OtherUNITED HEALTHCARE
4401656OtherAETNA PPO
MD155301100Medicaid
2108450OtherAETNA HMO
702517OtherNCPPO
112466OtherCOVENTRY
52343309OtherBCBS
030855OtherJOHNS HOPKISN HEALTHCARE
52343301OtherCAREFIRST MARYLAND
1807936OtherUNITED HEALTHCARE
283153OtherMAMSI
2108450OtherAETNA HMO
MD155301100Medicaid
P00700069Medicare PIN