Individual provider Active NPI

Mark A. Crager, MD

  • General Practice Physician
  • Washington Court House, OH
National Provider Identifier
1609827740
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35.147223 Issued in OH
Practice address
555 N Glenn Ave
Washington Court House, OH 43160-2711
Phone
(740) 981-8212
Fax
(855) 857-7333
NPI assigned
May 13, 2006
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-00-1727 OH
Student in an Organized Health Care Education/Training Program 390200000X NU
General Practice Physician 208D00000X 35.147223 OH Primary

Addresses

Primary practice location

555 N Glenn Ave
Washington Court House, OH 43160-2711

Mailing address

PO Box 609
Lucasville, OH 45648-0609
Phone (740) 981-8212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629003541 OH Practitioner - General PracticePractitioner - Emergency Medicine 4082619978 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Wright State University Boonshoft School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians

Practice addresses (Care Compare)

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

4400 Easton CMNS
Suite 125
Columbus, OH 43219-6223
Phone (855) 743-2247

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
1727OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc Physician Assistant CurrentSince Aug 6, 2024 Accepting new patients
Extended Care Specialists, Inc Physician Assistant CurrentSince Oct 1, 2023 Accepting new patients
Eventus Wholehealth Midwest Inc Physician Assistant CurrentSince Oct 1, 2023 Accepting new patients
Eventus Ecs - Ohio LLC Physician Assistant CurrentSince Nov 5, 2024 Accepting new patients
Copper Knoll Health and Rehab LLC Past Accepting new patients
Embassy Valley View LLC Past Accepting new patients
LP Washington CH, LLC Past Accepting new patients
Deerfield Nursing Corporation Past Accepting new patients
Otterbein Middletown, LLC Past Accepting new patients
LP Chillicothe, LLC Past Accepting new patients
Greenfield SNF, Inc. Past Accepting new patients
Hopewell Grove Rehabilitation and Healthcare Center LLC Past Accepting new patients
Edgewood Manor of Wellston LLC Past Accepting new patients
Longterm Lodging Inc Past Accepting new patients
HCF of Court House Inc. Past Accepting new patients
Union City Care Center Inc Past Accepting new patients
HCF of Washington, Inc. Past Accepting new patients
CT Ohio Beavercreek, LLC Past Accepting new patients
CT Ohio Xenia LLC Past Accepting new patients
FRS Counseling PastSince Mar 6, 2018 Accepting new patients
CT Ohio Jamestown LLC Past Accepting new patients
Edgewood Manor of Greenfield LLC Past Accepting new patients

Locations

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beavercreek Health and RehabBeavercreek, OH, CCN 366400 Skilled nursing facility Adp of the SNF Jan 2, 2025
Jamestown Place Health and RehabJamestown, OH, CCN 365368 Skilled nursing facility Adp of the SNF Jan 2, 2025
Xenia Health and RehabXenia, OH, CCN 365187 Skilled nursing facility Adp of the SNF Jan 2, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1609827740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "LUCASVILLE",
            "state": "OH",
            "postal_code": "456480609",
            "telephone_number": "740-981-8212",
            "fax_number": "855-857-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N GLENN AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602711",
            "telephone_number": "740-981-8212",
            "fax_number": "855-857-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGER",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-00-1727",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.147223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.