Active NPI
Michael Paul Lagerstrand Sr., CO
- Prosthetics Case Management
- Cincinnati, OH
National Provider Identifier
1013156652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- CO004304
- Practice address
- 3200 Vine St
539/121
Cincinnati, OH 45220-2213 - Phone
- (513) 861-3100
- Fax
- (513) 487-6693
- NPI assigned
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CO004304 | Primary |
Addresses
Primary practice location
3200 Vine St
539/121
Cincinnati, OH 45220-2213
Mailing address
3200 Vine St
539/121
Cincinnati, OH 45220-2213
Phone (513) 861-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COOO4304 | Other | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS & PROSTHETICS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1013156652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 VINE ST",
"address_2": "539/121",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202213",
"telephone_number": "513-861-3100",
"fax_number": "513-487-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 VINE ST",
"address_2": "539/121",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202213",
"telephone_number": "513-861-3100",
"fax_number": "513-487-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGERSTRAND",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": "CO004304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS & PROSTHETICS",
"identifier": "COOO4304",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.