MR. AERIC WYNN CREEKMORE II (NPI# 1144625732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144625732 |
| Entity Type | Individual |
| Full Name | MR. AERIC WYNN CREEKMORE II |
| Credential | FNP |
| Practice Address |
100 Mcdougal Dr Holdenville OK 74848-2822 |
| Practice Telephone | 4053792150 |
| Mailing Telephone | 4053792150 |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2014-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
80829 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MCDOUGAL DR |
| City | HOLDENVILLE |
| State | OK |
| Zip Code | 74848-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669461372 | John M Swirczek | Anesthesiology | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2005-10-14 |
| 1184073991 | Saba Suhail | Family Medicine | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2016-06-13 |
| 1356704928 | Karis Ashley Rodriguez | Nurse Practitioner | 100 Mcdougal Dr, Holdenville, OK 74848-2899 | 2016-03-31 |
| 1104287044 | Julia Amilee Dority | Nurse Practitioner | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2016-03-18 |
| 1902265309 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2016-02-15 |
| 1073998415 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2015-07-28 |
| 1558740639 | Antoine Michael Khalaf Jr. | Family Medicine | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2015-05-22 |
| 1821417015 | Holdenville Hospital Authority | Medicare Defined Swing Bed Unit | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| 1780003970 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| 1871912063 | Holdenville Hospital Authority | Clinic/Center | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2014-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790276160 | Corner Clinic Aprn-cnp Pllc | Clinic/Center | 201 N Hinkley, Holdenville, OH 74848 | 2018-05-22 |
| 1063948230 | Savannah Ione Hartwick | Personal Emergency Response Attendant | 400 Crestview Dr., Holdenville, OK 74848 | 2017-05-10 |
| 1568910297 | Alicia Rose Gosey | Nurse Practitioner | 1011 N Hinkley St, Holdenville, OK 74848 | 2016-09-11 |
| 1649611278 | Sooner Health Services IIi, Inc. | Home Health | 106 N Broadway, Holdenville, OK 74848 | 2013-07-11 |
| 1275852089 | Jennifer Michele Gaines | Counselor | 117 Rogers Drive, Holdenville, OK 74848 | 2010-05-19 |
| 1497975528 | Gloria Buenrostro Turner | Physical Therapist | Therapy Care Outpatient PC, 317 E 8th St, Holdenville, OK 74848 | 2007-04-30 |
| 1215075528 | Therapy Care Outpatient PC | Physical Therapist | 317 E 8th Street, Holdenville, OK 74848 | 2007-02-01 |
| 1285724732 | Heritage Village Nursing Center, LLC | Skilled Nursing Facility | 801 Highway #48, Holdenville, OK 74848 | 2006-10-13 |
| 1861484776 | Joseph Omer Lavalley | Dentist | 300 E Hwy, Holdenville, OK 74848 | 2005-08-17 |
| 1699150052 | Stephanie Keesee | Nurse Practitioner | 201 N Hinckley St, Holdenville, OK 74848 | 2015-07-28 |
| Find all providers in zip 74848 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568910297 | Alicia Rose Gosey | Nurse Practitioner | 1011 N Hinkley St, Holdenville, OK 74848 | 2016-09-11 |
| 1689272064 | Tami Dawn Cox | Nurse Practitioner | 201 N Hinckley St, Holdenville, OK 74848-5449 | 2020-10-16 |
| 1356704928 | Karis Ashley Rodriguez | Nurse Practitioner | 100 Mcdougal Dr, Holdenville, OK 74848-2899 | 2016-03-31 |
| 1104287044 | Julia Amilee Dority | Nurse Practitioner | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2016-03-18 |
| 1699150052 | Stephanie Keesee | Nurse Practitioner | 201 N Hinckley St, Holdenville, OK 74848 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
| 1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
| 1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
| 1528668530 | William Zachary Mccormick | Nurse Practitioner | 9900 Ashley Pl, The Village, OK 73120-3608 | 2020-10-28 |
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1164021655 | Alana Christine Mckinney | Nurse Practitioner | 19400 Sw 44th St, El Reno, OK 73036-8191 | 2020-10-26 |
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
| 1225637465 | Dakota Bell Morton | Nurse Practitioner | 208 W 35th St, Sand Springs, OK 74063-2832 | 2020-10-19 |
| 1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | HOLDENVILLE |
| Zip Code | 74848 |
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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.