Provider Demographics
NPI:1053891689
Name:CRAGO, CEIRRA MICHELLE (PA)
Entity type:Individual
Prefix:
First Name:CEIRRA
Middle Name:MICHELLE
Last Name:CRAGO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:CEIRRA
Other - Middle Name:MICHELLE
Other - Last Name:ZEIGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:70 BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:WV
Mailing Address - Zip Code:26047-1577
Mailing Address - Country:US
Mailing Address - Phone:304-374-6342
Mailing Address - Fax:
Practice Address - Street 1:4000 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2364
Practice Address - Country:US
Practice Address - Phone:740-264-8067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.005657RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant