Individual provider Active NPI

William Michael Carragher III, D.O.

  • Physical Medicine & Rehabilitation Physician
  • West Hollywood, CA
National Provider Identifier
1699888727
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A7692 Issued in CA
Practice address
7235 Santa Monica Blvd
West Hollywood, CA 90046-6724
Phone
(805) 823-8204
Fax
(805) 823-8209
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7692 CA
Physical Medicine & Rehabilitation Physician 208100000X 20A7692 CA Primary
General Practice Physician 208D00000X 20A7692 CA

Addresses

Primary practice location

7235 Santa Monica Blvd
West Hollywood, CA 90046-6724

Mailing address

7235 Santa Monica Blvd
West Hollywood, CA 90046-6724
Phone (805) 823-8204

Other identifiers 1

IdentifierTypeStateIssuer
20A7692OtherCABLUE CROSS PROVIDER NUM

Other names 1

  • Dr. W. Michael Carragher III Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 27, 2018 through Nov 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7692CAMDPsychologist
20A7692CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W. Michael Carragher III, DO Inc. Physical Medicine & Rehabilitation PastSince Sep 18, 2003 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1699888727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466724",
            "telephone_number": "805-823-8204",
            "fax_number": "805-823-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466724",
            "telephone_number": "805-823-8204",
            "fax_number": "805-823-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAGHER",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7692",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A7692",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A7692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUM",
            "identifier": "20A7692",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W.",
            "last_name": "CARRAGHER",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.