ROBERT E. CREUTZ SR. (NPI# 1659669059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659669059 |
| Entity Type | Individual |
| Full Name | ROBERT E. CREUTZ SR. |
| Credential | M.D. |
| Practice Address |
111 Salem Tpke Norwich CT 06360-7403 |
| Mailing Address |
112 Lafayette Street Norwich CT 06360 |
| Practice Telephone | 8604258740 |
| Practice Fax Number | 8608231687 |
| Mailing Telephone | 8604258715 |
| Mailing Fax Number | 8604258707 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2012-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 017274 | CT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 017274 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
111 SALEM TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629041728 | Radford Douglas Tanksley | Dermatology | 111 Salem Tpke, Suite 7, Norwich, CT 06360-6459 | 2006-02-09 |
| 1386074292 | Karina Szczepanczyk | Internal Medicine | 111 Salem Tpke, Norwich, CT 06360-7403 | 2013-11-14 |
| 1083954119 | Quest Diagnostics LLC | Clinical Medical Laboratory | 111 Salem Tpke, Norwich, CT 06360-7403 | 2013-02-27 |
| 1851689152 | Elizabeth Sibicky | Nurse Practitioner | 111 Salem Tpke, Norwich, CT 06360-7403 | 2011-07-20 |
| 1306035068 | Suzanne J. Plante | Physical Therapist | 111 Salem Tpke, Norwich, CT 06360-6459 | 2007-10-18 |
| 1386767275 | Karen Stedman | Nurse Practitioner | 111 Salem Tpke, Norwich, CT 06360-6459 | 2007-04-08 |
| 1750429197 | Carol Marie Savluk | Pharmacist | 111 Salem Tpke, Norwich, CT 06360-6459 | 2007-02-01 |
| 1083750814 | Victoria J Lambert | Pharmacist | 111 Salem Tpke, Norwich, CT 06360-6459 | 2007-01-29 |
| 1790849115 | Philip Michael Hritcko | Pharmacist | 111 Salem Tpke, Norwich, CT 06360-6459 | 2006-12-20 |
| 1831103530 | Geoffrey Joseph Fabry | Physical Therapist | 111 Salem Tpke, Norwich, CT 06360-6459 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588761118 | Stanley J Czarnecki | Emergency Medicine | 179 North Broad Strreet, Norwich, NY 13815-1019 | 2006-09-17 |
| 1609230531 | James Robert Engel | Emergency Medicine | 326 Washington St, Norwich, CT 06360 | 2016-04-06 |
| 1952797516 | Matthew Macaskill | Emergency Medicine | 326 Washington St, Norwich, CT 06360-2740 | 2015-04-10 |
| 1770743643 | Lindsay Sloane Roberts | Emergency Medicine | 326 Washington St, Emergency Department, Norwich, CT 06360-2740 | 2008-06-13 |
| 1033380985 | W. Gordon Van Nes | Emergency Medicine | 326 Washington St, Norwich, CT 06360-2740 | 2008-03-19 |
| 1326167768 | William Boudreau | Emergency Medicine | 179 N Broad St, Norwich, NY 13815-1019 | 2007-03-28 |
| 1306925292 | Richard G Ryan | Emergency Medicine | 326 Washington St, Norwich, CT 06360 | 2006-11-03 |
| 1821179722 | Yusuf Harper | Emergency Medicine | 179 N Broad St, Norwich, NY 13815-1019 | 2006-10-18 |
| 1952496440 | Richard Goulding | Emergency Medicine | 326 Washington St, Backus Hospital, Department of Emergency Medicine, Norwich, CT 06360-2740 | 2006-10-03 |
| 1134228281 | Matthew J Spates | Emergency Medicine | 326 Washington St, The William W. Backus Hospital, Norwich, CT 06360-2740 | 2006-09-22 |
| Find all providers in NORWICH | ||||
Please comment or provide details below to improve the information on ROBERT E. CREUTZ SR..
| 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.