JOHN D. CREASY (NPI# 1124029244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124029244 |
| Entity Type | Individual |
| Full Name | JOHN D. CREASY |
| Credential | M.D. |
| Practice Address |
130 W Ravine Rd Kingsport TN 37660-3810 |
| Mailing Address |
3053 W State St Bristol TN 37620-1720 |
| Practice Telephone | 4239681144 |
| Practice Fax Number | 4239683453 |
| Mailing Telephone | 4239681144 |
| Mailing Fax Number | 4239683453 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
31555 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3844447 | 05 | |
| KY | 64008402 | 05 | |
| TN | BCBS | 3140729 | 01 |
| VA | 7205066 | 05 | |
| TN | JOHN DEERE | R06903 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336415140 | John M Creasy | Student in an Organized Health Care Education/Training Program | 426 Irving St, Winston Salem, NC 27103-2608 | 2012-03-26 |
| Street Address |
130 W RAVINE RD |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536997 | Medical Mall Pharmacy Inc | Pharmacy | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2005-05-27 |
| 1598364903 | Kevin White | Physician Assistant | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-10-19 |
| 1093328460 | Corbin Noah Turbyfill | Registered Nurse | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-08-26 |
| 1871106153 | Garon Rick Compton | Registered Nurse | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-08-26 |
| 1780297010 | Caleb Rumley | Registered Nurse | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-08-26 |
| 1992314587 | Ryan Earl Farmer | Emergency Medicine | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-07-29 |
| 1043837933 | Verna Theola Barton | Pharmacist | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-06-26 |
| 1962028043 | Kendra Lauren O'quinn | Nurse Practitioner | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-06-24 |
| 1427673672 | Brooke Stayer | Pharmacist | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-06-13 |
| 1982228847 | Jordan Bacon | Physician Assistant | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278702 | Kris B Saadeh | Radiology | 130 W. Ravine, Kingsport, TN 37660 | 2006-01-02 |
| 1568737666 | Jonathan Spencer Suther | Radiology | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2012-03-21 |
| 1912130030 | Jayson Vittori | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2009-08-24 |
| 1497901854 | Amanda Davis Ingram | Radiology | 103 W Stone Dr, Kingsport, TN 37660 | 2008-08-15 |
| 1720253826 | Laura Austin Slusher | Radiology | 103 W Stone Dr, Kingsport, TN 37660 | 2008-04-29 |
| 1780895284 | Jason A. Hill | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2007-05-25 |
| 1437228053 | Richard T. Kubota | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2006-11-07 |
| 1821029364 | Rekha Jain | Radiology | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2006-07-05 |
| 1720018724 | Tri City Radiology Group, PC | Radiology | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2006-07-04 |
| 1528025673 | Paul D Ellis | Radiology | 130 W Ravine Rd, Kingsport, TN 37660 | 2006-05-01 |
| Find all providers in KINGSPORT | ||||
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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.