DR. ROY L CREASY JR. (NPI# 1235202235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235202235 |
| Entity Type | Individual |
| Full Name | DR. ROY L CREASY JR. |
| Credential | D.C. |
| Practice Address |
1222 Medical Center Dr Wilmington NC 28401-7332 |
| Practice Telephone | 9103430300 |
| Practice Fax Number | 9103430332 |
| Mailing Telephone | 9103430300 |
| Mailing Fax Number | 9103430332 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 644 | NC | Chiropractic Providers |
| Street Address |
1222 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649206939 | Gail Imhof | Nurse Practitioner | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2006-06-25 |
| 1205316221 | Madeline Chastain Havens | Nurse Practitioner | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2018-08-20 |
| 1417112053 | Cape Fear Center for Medical Arts | Internal Medicine | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2008-07-23 |
| 1932364791 | Atlantic Health Clinic, Pa | Internal Medicine | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2008-07-22 |
| 1154521904 | The Cape Fear Center for Medical Arts | Clinic/Center | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2007-07-19 |
| 1376680660 | Borislav Margaritov Mravkov | Psychiatry & Neurology | 1222 Medical Center Dr, Wilmington, NC 28401-7332 | 2007-01-30 |
| 1851447478 | Timothy Oster | Psychiatry & Neurology | 1222 Medical Center Dr, Attn: Credentialing, Wilmington, NC 28401-7307 | 2007-01-26 |
| 1619085545 | Alfred De Maria | Psychiatry & Neurology | 1222 Medical Center Dr, Attn: Credentialing, Wilmington, NC 28401-7307 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028504 | Kyle Ukrainyc Dc LLC | Chiropractor | 1600 N Washington St Fl 2, Wilmington, DE 19802-4722 | 2020-09-21 |
| 1891306676 | John A. Pirritano, Portofino Chiropractic | Chiropractor | 601 N Avalon Blvd Ste A, Wilmington, CA 90744-5871 | 2020-08-13 |
| 1386252922 | Thomas Chiropractic, Inc. | Chiropractor | 200 Jefferson Rd Ste 106, Wilmington, MA 01887-1999 | 2020-07-20 |
| 1013540830 | Yekaterina Grinchak | Chiropractor | 3411 Silverside Rd Ste 102, Wilmington, DE 19810-4812 | 2020-02-20 |
| 1972140978 | Caitlyn Helene Demetrious | Chiropractor | 7491 Market St # A, Wilmington, NC 28411-9454 | 2019-12-09 |
| 1396382776 | Alexis Demetrious | Chiropractor | 7649 Market St, Wilmington, NC 28411-9454 | 2019-12-05 |
| 1922645209 | Grant Gowing | Chiropractor | 7491 Market St Ste A, Wilmington, NC 28411-9454 | 2019-12-05 |
| 1366089690 | Delaware Spine | Chiropractor | 1117 N Franklin St Ste A, Wilmington, DE 19806-4331 | 2019-12-05 |
| 1710538319 | First State Spinal Rehabilitation LLC | Chiropractor | 2500 W 4th St Ste 4, Wilmington, DE 19805-3352 | 2019-09-25 |
| 1679036826 | Taylor Cox | Chiropractor | 1319 Military Cutoff Rd Ste Ll, Wilmington, NC 28405-3640 | 2019-04-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.