Derrick D Creighton (NPI# 1134254824, PAC ID# 0941393482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1134254824 |
| PAC ID by PECOS | 0941393482 |
| Professional Enrollment ID | I20120821000564 |
| Full Name | Derrick D Creighton |
| Organization Legal Name | GENESIS HEALTH SYSTEM |
| Address |
1227 E Rusholme Genesis Health Group Davenport IA 52803-2459 |
| Phone Number | 5634216610 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7214841436 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| Address | Phone | Organization |
|---|---|---|
| 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 | 5634216610 | GENESIS HEALTH SYSTEM |
| 210 W 53rd St, Davenport, IA 52806-2251 | 8887007842 | GENESIS HEALTH SYSTEM |
| 210 W 53rd St, Genesis Health Group, Davenport, IA 52806-2251 | 8887007842 | GENESIS HEALTH SYSTEM |
| Organization Legal Name | GENESIS HEALTH SYSTEM |
| Physicians | 298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April R Lanning | Family Medicine | Genesis Health System | 2140 53rd Ave, Bettendorf, IA 52722-6279 |
| Andrea L Lingenfelter | Nurse Practitioner | Genesis Health System | 1351 W Central Park, Davenport, IA 52804-1889 |
| Daniel L Larson | Psychologist, Clinical | Genesis Health System | 4455 E 56th St, Genesis Psychology Associates, Davenport, IA 52807-2995 |
| Kathleen B Vickroy | Nurse Practitioner | Genesis Health System | 200 S Cody Rd, Genesis Health Group, Leclaire, IA 52753-9579 |
| Jennifer J Hook | Nurse Practitioner | Genesis Health System | 202 Picard St, Alpha, IL 61413-5023 |
| Elliot M Galey | Family Medicine | Genesis Health System | 221 Main Ave, Clinton, IA 52732-2241 |
| Reena Kunreddy | Internal Medicine | Genesis Health System | 3900 28th Ave Dr, Suite 200, Moline, IL 61265 |
| Babuji R Gandra | Psychiatry | Genesis Health System | 1401 W Central Park, Genesis Health Group, Davenport, IA 52804-1707 |
| Clare B Harney | Obstetrics/gynecology | Genesis Health System | 1510 E Rusholme St, Davenport, IA 52803-2463 |
| Kerry B Miller | Nurse Practitioner | Genesis Health System | 1345 W Central Park, Genesis Health Group, Davenport, IA 52804-1844 |
| Street Address |
1227 E RUSHOLME GENESIS HEALTH GROUP |
| City | DAVENPORT |
| State | IA |
| Zip | 52803-2459 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn K Dierks | Emergency Medicine | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Joanne M Miller | Family Medicine | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Suren Ravuri | Family Medicine | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Rita J Ledbetter | Certified Nurse Midwife (cnm) | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Leslie A Poston | Nurse Practitioner | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Edward M Powers | Hospitalist | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Rodney A Short | Neurology | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Mark A Pithan | Neurology | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Melissa K Neymeyer | Physician Assistant | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Zarrish S Khan | Cardiac Surgery | Genesis Health System | 1227 E Rusholme, Genesis Health Group, Davenport, IA 52803-2459 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis G Kerr | Chiropractic | 514 E George Washington Blvd, Davenport, IA 52803-1232 | |
| Gregg D Corrigan | Podiatry | 2839 Brady St, Davenport, IA 52803-1519 | |
| Penny K Kain | Clinical Social Worker | 2800 Eastern Ave Bldg G, Lifeskills Connection Inc, Davenport, IA 52803-2012 | |
| Sieg Hoppe | Psychologist, Clinical | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Tammi White | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Tiffany F Hunter | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Lynn Ann Meincke-wohlers | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Kelly A Bitel | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Michael D Aldrich | Chiropractic | 2304 Jersey Ridge Rd, Suite 4, Davenport, IA 52803-2378 | |
| Siv Brit Saetre | Ophthalmology | Davenport Eye Group PC | 1230 E Rusholme St, Suite 203, Davenport, IA 52803-2400 |
| Find all physicians in zip 52803 | |||
| City | DAVENPORT |
| Zip Code | 52803 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DAVENPORT + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Derrick D Creighton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.