IndividualActive
Nicholas Massie
NPI 1174140404 · Sports Medicine (Emergency Medicine) Physician · Gambier, OH
Provider details
- NPI number
- 1174140404
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- RT006173 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
221 Duff St
Gambier, OH 43022-5013
Phone: (937) 926-1208
Approximate (ZIP-level) locationGet directions
Mailing address
222 Crabapple Dr
Howard, OH 43028-8038
Registry dates
- Enumerated
- 2020-07-02
- Last updated
- 2020-07-02
- Certified
- 2020-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.