MR. JOSEPH FRANCIS CREEDON JR. (NPI# 1184853426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184853426 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH FRANCIS CREEDON JR. |
| Credential | PA-C |
| Practice Address |
750 Washington Street Tufts Medical Center, Dept of Emergency Medicine Boston MA 02111 |
| Practice Telephone | 6176364720 |
| Practice Fax Number | 6176364723 |
| Mailing Telephone | 6176364720 |
| Mailing Fax Number | 6176364723 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1019 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275076895 | Joseph Andrew Creedon | Psychologist | 2 Easton Oval, Suite 450, Columbus, OH 43219-6036 | 2016-11-30 |
| Street Address |
750 WASHINGTON STREET TUFTS MEDICAL CENTER, DEPT OF EMERGENCY MEDICINE |
| City | BOSTON |
| State | MA |
| Zip Code | 02111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326098419 | Brian F. Gilchrist | Surgery | 750 Washington Street, The Floating Hospital for Children, Boston, MA 02111 | 2006-05-11 |
| 1548462807 | Peter A Bonis | Internal Medicine | 750 Washington Street, Tufts Medical Center, Boston, MA 02111 | 2007-05-31 |
| 1922216415 | Margaret Theresa O'connor | Nurse Practitioner | 750 Washington Street, Nemc Gma Box 398, Boston, MA 02111-1526 | 2007-05-18 |
| 1053538645 | Dhua Shaheen | Internal Medicine | 750 Washington Street, Boston, MA 02111-1533 | 2007-04-18 |
| 1225159031 | Ramalakshmi Madhuri Ramachandruni | Psychiatry & Neurology | 750 Washington Street, Child Psychiatry Department, Boston, MA 02111 | 2007-04-02 |
| 1386717783 | Amir Hootan Darvish | Emergency Medicine | 750 Washington Street, Dept of Emergency Medicine, Boston, MA 02111 | 2006-11-16 |
| 1467541342 | Jeffrey Kennedy Griffiths | Internal Medicine | 750 Washington Street, Boston, MA 02111 | 2006-10-11 |
| 1679679997 | David Denofrio | Internal Medicine | 750 Washington Street, Tufts-nemc, Boston, MA 02111 | 2006-09-15 |
| 1194752063 | Sherwood L Gorbach | Internal Medicine | 750 Washington Street, Id Clinic Biwend 3 Box 7010, Boston, MA 02111 | 2006-06-27 |
| 1447298740 | Robert O Blaustein | Internal Medicine | 750 Washington Street, Tufts- Nemc, Boston, MA 02111 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1366006330 | Theresa Fukuda | Physician Assistant | 43 Bowdoin St Apt 2f, Boston, MA 02114-4238 | 2019-04-25 |
| 1649645201 | Andrew R Phenix | Physician Assistant | 75 Francis Street, Pbb-b 428, Brigham and Women's Hospital, Boston, MA 02115 | 2015-12-08 |
| 1346636123 | Julie Baskind Gilman | Physician Assistant | 800 Washington St # 401, Tufts Gma, Boston, MA 02111-1552 | 2015-04-08 |
| 1356688030 | Kevin Murtha | Physician Assistant | 6225 Shero Rd, Boston, NY 14025-9707 | 2013-01-15 |
| 1750560348 | Gretchen Haley Biggins | Physician Assistant | 44 Binney St # D1b30, Boston, MA 02115-6013 | 2007-10-30 |
| 1538290549 | Stephen Herrington Robinson | Physician Assistant | One Boston Medical Place, Boston, MA 02118 | 2007-03-08 |
| 1518057306 | Maha B Lund | Physician Assistant | 75 Francis St # Pbb-b4, Boston, MA 02115-6110 | 2006-10-13 |
| 1346287067 | Kathleen Fischer | Physician Assistant | 150 South Huntington Ave., Va Boston Healthcare System, Boston, MA 02130 | 2006-06-01 |
| 1659332799 | Cristobal Cornejo Jr. | Physician Assistant | 360 Huntington Ave, 135 Forsyth Building, Boston, MA 02115-5005 | 2006-03-29 |
| Find all providers in BOSTON | ||||
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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.