Mark A Crager (NPI# 1609827740, PAC ID# 4082619978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1609827740 |
| PAC ID by PECOS | 4082619978 |
| Professional Enrollment ID | I20060928000000 |
| Full Name | Mark A Crager |
| Organization Legal Name | DR. DIRK LLC |
| Address |
580 E Washington St Sabina OH 45169-1253 |
| Phone Number | 7408956101 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4880862796 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361331 | FAYETTE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 580 E Washington St, Sabina, OH 45169-1253 | 7408956101 | DR. DIRK LLC |
| Organization Legal Name | DR. DIRK LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Burton | Physician Assistant | Dr. Dirk LLC | 555 N Glenn Ave, Washington Court House, OH 43160-2711 |
| Kimberley Tolle | Nurse Practitioner | Dr. Dirk LLC | 3363 Ragged Ridge Rd, Frankfort, OH 45628-9551 |
| Dirk N Juschka | Geriatric Medicine | Dr. Dirk LLC | 580 E Washington St, Sabina, OH 45169-1253 |
| Robert E Albright Jr. | Neurology | Dr. Dirk LLC | 1460 Ludlow Rd, Xenia, OH 45385-7900 |
| Angela R Hardy | Nurse Practitioner | Dr. Dirk LLC | 3363 Ragged Ridge Rd, Frankfort, OH 45628-9551 |
| Street Address |
580 E WASHINGTON ST |
| City | SABINA |
| State | OH |
| Zip | 45169-1253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dirk N Juschka | Geriatric Medicine | Dr. Dirk LLC | 580 E Washington St, Sabina, OH 45169-1253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Adams | Physician Assistant | Wilmington Physicians Group LLC | 12459 Us Hwy 22 and 3, Sabina, OH 45169-9083 |
| Rodel A Cacas | Family Medicine | Wilmington Physicians Group LLC | 12459 Us Hwy 22 and 3, Sabina, OH 45169-9083 |
| City | SABINA |
| Zip Code | 45169 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SABINA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.