MR. JOHN CREEKMORE (NPI# 1043508229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043508229 |
Entity Type | Individual |
Full Name | MR. JOHN CREEKMORE |
Credential | SA-C |
Practice Address |
8000 Waterford Tide Loop #2931 Charlotte NC 28226 |
Practice Telephone | 3364255991 |
Mailing Telephone | 3364255991 |
Enumeration Date | 2011-07-21 |
Last Update Date | 2011-07-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
3155 | OH | Technologists, Technicians & Other Technical Service Providers |
Street Address |
8000 WATERFORD TIDE LOOP #2931 |
City | CHARLOTTE |
State | NC |
Zip Code | 28226 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
Find all providers in zip 28226 |
Taxonomy Code | 246ZC0007X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Assistant |
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205258092 | Jerry L. Marsh | Specialist/Technologist, Other | 9926 Orchard Grass Ct, Charlotte, NC 28278-7849 | 2014-01-13 |
1285809566 | Laura Hope Babec | Specialist/Technologist, Other | 309 S. Sharon Amity Rd, Charlotte, NC 28211 | 2008-04-28 |
1427472992 | Damien Huckleberry | Specialist/Technologist, Other | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2014-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932670569 | Alfredo Benarroch | Specialist/Technologist, Other | 6809 Jacobs Creek Cir, Fayetteville, NC 28306-4562 | 2018-12-07 |
1053658302 | James William Boyer | Specialist/Technologist, Other | 1768 Hwy 210, Hampstead, NC 28443 | 2013-01-07 |
1295003572 | Andre Scott Canipe | Specialist/Technologist, Other | 1829 E Marion St, Apt. 809, Shelby, NC 28152-6264 | 2011-12-01 |
1134394349 | Nathan Henry Adams | Specialist/Technologist, Other | 1217 Upper Brush Creek Rd, Fairview, NC 28730-9208 | 2008-04-29 |
1407025331 | Brian W Owens | Specialist/Technologist, Other | 540 Rockbridge Dr, Kernersville, NC 27284-6844 | 2008-02-25 |
1881202901 | Chantel Davis | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
1154949428 | Jerri Lynn Reed | Specialist/Technologist, Other | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2020-07-13 |
1447878178 | Tonya Lakeshia Washington | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-09 |
1124338991 | Annie A Rice | Specialist/Technologist, Other | 100 Victoria Rd, Asheville, NC 28801-4812 | 2010-10-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.