NPIMap

Organization Active NPI

Michael D Cragel DPM

Doing business as Michael D Cragel DPM Khase a Wilkinson DPM

  • Foot & Ankle Surgery Podiatrist
  • Oregon, OH
National Provider Identifier
1588798060
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2026 Issued in OH
Legal business name
MICHAEL D CRAGEL DPM
Doing business as
Michael D Cragel DPM Khase a Wilkinson DPM
Practice address
715 S Coy Rd
Oregon, OH 43616-3007
Phone
(419) 693-4171
Fax
(419) 693-6863
NPI assigned
Mar 15, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Donald Cragel, DPM
Title
Owner
Phone
(419) 693-4171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2026 OH Primary

Addresses

Primary practice location

715 S Coy Rd
Oregon, OH 43616-3007

Mailing address

715 S Coy Rd
Oregon, OH 43616-3007
Phone (419) 693-4171

Other identifiers 4

IdentifierTypeStateIssuer
0497752OtherOHMEDICAID INDIVIDUAL
1134248099OtherOHDME GROUP NPI
2234639MedicaidOH
9252891OtherOHMEDICARE,GROUP

Other names 1

  • MICHAEL D CRAGEL DPM KHASE A WILKINSON DPM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael D Cragel2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6170 N Summit St
Toledo, OH 43611
Phone (419) 726-3418

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1588798060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S COY RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163007",
            "telephone_number": "419-693-4171",
            "fax_number": "419-693-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S COY RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163007",
            "telephone_number": "419-693-4171",
            "fax_number": "419-693-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D CRAGEL DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "CRAGEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-693-4171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "2026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL",
            "identifier": "0497752",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME GROUP NPI",
            "identifier": "1134248099",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2234639",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE,GROUP",
            "identifier": "9252891",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHAEL D CRAGEL DPM KHASE A WILKINSON DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.