Provider Demographics
NPI:1740287200
Name:MESSIER, ROBERT H JR (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:MESSIER
Suffix:JR
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S RAVENEL ST STE 270
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2624
Mailing Address - Country:US
Mailing Address - Phone:843-777-7020
Mailing Address - Fax:843-664-9545
Practice Address - Street 1:101 S RAVENEL ST STE 270
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2624
Practice Address - Country:US
Practice Address - Phone:843-777-7020
Practice Address - Fax:843-664-9545
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045887208G00000X
PAMD459046208G00000X
WI84522-20208G00000X
SC35345208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
203639329OtherTRICARE PROVIDER NUMBER
6157892OtherCIGNA PROVIDER NUMBER
010216346OtherVA PREMIER PROVIDER NUMBE
SCQ09906Medicaid
WI1740287200Medicaid
329092OtherSOUTHERN HEALTH PROVIDER
VA010216346Medicaid
186353OtherANTHEM PROVIDER NUMBER
203639329OtherUNITED HEALTHCARE PROVIDE
10002777OtherSENTARA/OPTIMA PROVIDER N
203639329OtherPCHP PROVIDER NUMBER
VA010216346Medicaid