Provider Demographics
NPI:1841239035
Name:MESSERSMITH, DIANE S (MD)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:S
Last Name:MESSERSMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:S
Other - Last Name:MESSERSMITH HOFFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:14 RICE RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01468-1332
Mailing Address - Country:US
Mailing Address - Phone:978-939-2035
Mailing Address - Fax:978-939-2039
Practice Address - Street 1:14 RICE RD
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:MA
Practice Address - Zip Code:01468-1332
Practice Address - Country:US
Practice Address - Phone:978-939-2035
Practice Address - Fax:978-939-2039
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1526772085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3193845OtherHEALTHY START
MA300100562OtherRAILROAD MEDICARE
MA042477296OtherUNITED HEALTH CARE
MA402347OtherTUFTS HEALTH PLAN
MA45817OtherFALLON COMMUNITY HEALTH P
MA72316OtherCIGNA
MA042477296OtherHEALTH CARE VALUE MANAGEM
MA3193845Medicaid
MA40010OtherHEALTH NEW ENGLAND
MA98774503OtherNETWORK HEALTH
MAJ21048OtherBLUE CROSS BLUE SHIELD
MA0007041OtherNEIGHBORHOOD HEALTH
MA042477296OtherPRIVATE HEALTH CARE SYSTE
MA241192OtherHARVARD PILGRIM HEALTH CA
MAJ21048OtherBLUE CROSS BLUE SHIELD
MAG90401Medicare UPIN