Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Cracchiolo, PA

Individual provider Physician Assistant · NPI 1891713350

Mr. Michael Cracchiolo, PA is a Physician Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

400 S Kingshighway Blvd
Saint Louis, MO 63110-1014
Phone: (314) 747-3000
Fax: (314) 747-4876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 104711 (MO)

Record details

NPI number1891713350
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJanuary 24, 2018

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