ROBERT ALAN MCCREADY (NPI# 1558380931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558380931 |
| Entity Type | Individual |
| Full Name | ROBERT ALAN MCCREADY |
| Credential | M.D. |
| Practice Address |
5255 E Stop 11 Rd Ste 430 Indianapolis IN 46237-6341 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 3175281212 |
| Practice Fax Number | 3175281252 |
| Mailing Telephone | 3175284800 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
01035525A | IN | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01035525 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 770002871 | 01 | |
| IN | 100327100 | 05 | |
| IN | RAILROAD MEDICARE | P00632725 | 01 |
| BCBS PIN | 000000187034 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659812345 | Robert Michael Mccready | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2017-03-14 |
| Street Address |
5255 E STOP 11 RD STE 430 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-6341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942269287 | Jason D Brown | Physician Assistant | 5255 E Stop 11 Rd Ste 430, Indianapolis, IN 46237-6341 | 2006-03-23 |
| 1629604939 | Adam Gentry Detig | Physician Assistant | 5255 E Stop 11 Rd Ste 430, Indianapolis, IN 46237-6341 | 2020-03-18 |
| 1649802810 | Sarah Kristine Williams | Physician Assistant | 5255 E Stop 11 Rd Ste 430, Indianapolis, IN 46237-6341 | 2020-02-06 |
| 1407014657 | Brian Michael Rapp | Surgery | 5255 E Stop 11 Rd Ste 430, Indianapolis, IN 46237-6341 | 2008-05-23 |
| 1326086646 | Lori Kemper | Surgery | 5255 E Stop 11 Rd Ste 430, Indianapolis, IN 46237-6341 | 2006-06-02 |
| 1861455156 | Charles Steven Kiell | Surgery | 5255 E Stop 11 Rd Ste 430, Indianapolis, IN 46237-6341 | 2006-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194041764 | Andrew Alexander Gonzalez | Surgery | 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 | 2010-04-08 |
| 1487761607 | Abdolaziz M Ardalan | Surgery | 9737 Decatur Dr, Indianapolis, IN 46256-9656 | 2006-08-24 |
| 1073542346 | Deepak Guttikonda | Surgery | 8075 N Shadeland Ave Ste 330, Indianapolis, IN 46250-2694 | 2006-06-30 |
| 1255397246 | Gary W Lemmon | Surgery | 1801 N Senate Blvd Ste D-3500, Indianapolis, IN 46202-1228 | 2006-04-26 |
| 1861999401 | Michael David Ingram | Surgery | 1130 W. Michigan St, Fessler Hall 318, Indianapolis, IN 46202 | 2018-04-10 |
| 1851746465 | Justin Rossel King | Surgery | 1801 N Senate Blvd, Mpc 2, Suite #3500, Indianapolis, IN 46202 | 2016-05-02 |
| 1629437397 | Center for Vein Restoration In, LLC | Surgery | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2016-02-23 |
| 1578944427 | Sarah Strot | Surgery | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2015-06-17 |
| 1508285784 | Shihuan Keisin Wang | Surgery | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2014-04-15 |
| 1659676146 | Gregory George Westin | Surgery | 1801 N Senate Blvd, Mpc2, Suite 3500, Indianapolis, IN 46202-1184 | 2011-01-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on ROBERT ALAN MCCREADY.
| 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.