John D Creasy (NPI# 1124029244, PAC ID# 1557393386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1124029244 |
| PAC ID by PECOS | 1557393386 |
| Professional Enrollment ID | I20180921002162 |
| Full Name | John D Creasy |
| Organization Legal Name | GASTON RADIOLOGY PA |
| Address |
336 Burtonwood Dr Gastonia NC 28054-4054 |
| Phone Number | 7048678021 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4082680806 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 336 Burtonwood Dr, Gastonia, NC 28054-4054 | 7048678021 | GASTON RADIOLOGY PA |
| Organization Legal Name | GASTON RADIOLOGY PA |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Vandermeer | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Mark T Edge | Diagnostic Radiology | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Renee Raimondi Deweese | Diagnostic Radiology | Gaston Radiology Pa | 1212 Spruce St, Belmont, NC 28012-3385 |
| Myrosia T Mitchell | Diagnostic Radiology | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Bryan J Barboza | Physician Assistant | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Richard S Herring | Diagnostic Radiology | Gaston Radiology Pa | 209 Park St, Belmont, NC 28012-5205 |
| Chad M Clark | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Robert W Miller | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Stephen John Lostetter Jr. | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Mark W Memolo | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Street Address |
336 BURTONWOOD DR |
| City | GASTONIA |
| State | NC |
| Zip | 28054-4054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Whitaker Jr. | Family Medicine | 224 S New Hope Rd K, Gastonia, NC 28054-0020 | |
| Leanne R King | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Kirsten G D Amore | Physical Medicine and Rehabilitation | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Emily B Rayfield | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| James E Harris Jr. | Physician Assistant | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Julie C Cornwell | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Lisa B Wilbanks | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Rebecca H Brown | Family Practice | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Nora D Paysour | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Sharon L Heinrich | Nurse Practitioner | Hospice of Gaston County Inc | 258 E Garrison Blvd, Gastonia, NC 28054-0460 |
| Find all physicians in zip 28054 | |||
| City | GASTONIA |
| Zip Code | 28054 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GASTONIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John D Creasy.
| 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.