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MR. MICHAEL CRACCHIOLO PA
NPI 1891713350
Physician Assistant in Saint Louis, MO

Active since July 17, 2006
400 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110(314) 747-3000(314) 747-4876 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Cracchiolo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL CRACCHIOLO PA (NPI 1891713350) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (104711) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1891713350
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL CRACCHIOLOCredential: PA
Location Address400 S KINGSHIGHWAY BLVDSaint Louis, MO 63110-1014
Mailing Address660 S Euclid Ave, C B 8072Saint Louis, MO 63110-1010 · (314) 747-3000 · Fax (314) 747-4876
Phone(314) 747-3000
Fax(314) 747-4876
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 24, 2018
✔ NPI 1891713350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 104711
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110
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Other Identifiers 2

MedicaidENROLLEDIL
Medicaid1891713350MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD THOMAS GRIFFEY MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
MS. ELIZABETH M CARNAGHI AGNP
Nurse Practitioner
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MEDICINE
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
DR. RICHARD S TAO MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
DR. MARK D LEVINE MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
DR. DAVID K TAN MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
DR. JARED LEVY ROSS DO
Emergency Medicine
400 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
MR. AJAY MINTON PA
Physician Assistant
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
DR. BRIAN RANDOLPH FROELKE MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Cracchiolo's NPI number?

The NPI number for Michael Cracchiolo is 1891713350. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Michael Cracchiolo located?

Michael Cracchiolo practices at 400 S Kingshighway Blvd, Saint Louis, MO 63110. The listed phone number is (314) 747-3000.

What is Michael Cracchiolo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michael Cracchiolo was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.