Provider Demographics
NPI:1427163955
Name:CASAGRANDE, MICHAEL GERARD (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:GERARD
Last Name:CASAGRANDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13628 MICHEL RD
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-6492
Mailing Address - Country:US
Mailing Address - Phone:281-357-1934
Mailing Address - Fax:281-357-1230
Practice Address - Street 1:13628 MICHEL RD
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6492
Practice Address - Country:US
Practice Address - Phone:281-357-1934
Practice Address - Fax:281-803-5298
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0435207QS1201X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2832713OtherAETNA HMO
TX6468720OtherCIGNA
TX5121660OtherAETNA PPO
TX122057605Medicaid
TX8AJ089OtherBCBS
TX004HPOtherBCBS
TX0060PWOtherBCBS
TX6468720OtherCIGNA