Active NPI
Charles D Crigger, MD
- Otolaryngology Physician
- Gallipolis, OH
National Provider Identifier
1386640662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35.120185
- Practice address
- 90 Jackson Pike
Gallipolis, OH 45631-1560 - Phone
- (740) 446-5135
- Fax
- (740) 446-5958
- NPI assigned
- Jun 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 13857 | WV | |
| Otolaryngology Physician | 207Y00000X | 35.120185 | OH | Primary |
Addresses
Primary practice location
90 Jackson Pike
Gallipolis, OH 45631-1560
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101517000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.120185 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Ear Nose & Throat Assc of Charl Inc | Otolaryngology | Past | Accepting new patients |
Locations
701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Boone Memorial Hospital
- Multi-Specialty Clinic/Center
- Madison, WV
- NPI 1285686725
-
dba BMH Comfort Clinic
- Rural Health Clinic/Center
- Comfort, WV
- NPI 1407421431
-
dba Boone Memorial Hospital
- Critical Access Hospital
- Madison, WV
- NPI 1639135221
-
dba BMH Brighter Futures
- Psychiatry Physician
- Madison, WV
- NPI 1871141366
-
- Otolaryngology Physician
- Charleston, WV
- NPI 1295735850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1386640662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-446-5135",
"fax_number": "740-446-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-446-5135",
"fax_number": "740-446-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIGGER",
"first_name": "CHARLES",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WV",
"license": "13857",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35.120185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0101517000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.