Craig Anthony Blagoue, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011137-1 Issued in NY

Practice address

87 Hammond LN
Suite a
Plattsburgh, NY 12901-2000

Phone

(518) 324-6090

Fax

(518) 324-6091

NPI assigned

May 12, 2006

Last updated

Sep 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perkins Chiropractic and Physical Therapy PLLCGroup PAC ID 9638144850, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Perkins Chiropractic & Physical Therapy PLLC

  • Physical Therapist
  • Plattsburgh, NY
  • NPI 1841362498

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Columbia Doctors Group, SC

  • Specialist
  • Columbia, IL
  • NPI 1609928936
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1740230218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 HAMMOND LN",
            "address_2": "SUITE A",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012000",
            "telephone_number": "518-324-6090",
            "fax_number": "518-324-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 HAMMOND LN",
            "address_2": "SUITE A",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012000",
            "telephone_number": "518-324-6090",
            "fax_number": "518-324-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAGOUE",
        "first_name": "CRAIG",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011137-1",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Bilow, PT, MSPT
• Noli Ann Bingel, M.A., CCC/SLP
• Tani Lee Bingham, COTA/L
• Chelsea Bjelko, PA-C
• Howard M Black, MD
• Tyler Blair
• Olivia Cyaria Blais, M.A. SLP-CF
• Marisa Beth Blake, LPN
• Kryn Bleeker, RN
• Kristy Renee Boas

• Chiropractor in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.