JOSEPH CREAZZO JR. (NPI# 1518955707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518955707 |
Entity Type | Individual |
Full Name | JOSEPH CREAZZO JR. |
Credential | DPM |
Practice Address |
2263 Sandstone Dr Morristown TN 37814-2593 |
Practice Telephone | 4235810444 |
Practice Fax Number | 4233531209 |
Mailing Telephone | 4235810444 |
Mailing Fax Number | 4233531209 |
Enumeration Date | 2005-10-11 |
Last Update Date | 2018-01-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
000429 | TN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BC/BS | 167149 | 01 | |
PALMETTO GBA | P00190667 | 01 | |
TN | 3352049 | 05 |
Street Address |
2263 SANDSTONE DR |
City | MORRISTOWN |
State | TN |
Zip Code | 37814-2593 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144639170 | Autum Dawn Shaw | Nurse Practitioner | 2263 Sandstone Dr, Morristown, TN 37814-2593 | 2014-08-04 |
1235545583 | East Tennessee Center for Orthopaedic Excellence Pllc | Orthopaedic Surgery | 2263 Sandstone Dr, Morristown, TN 37814-2593 | 2014-07-08 |
1467403386 | Ronald G Christopher | Orthopaedic Surgery | 2263 Sandstone Dr, Morristown, TN 37814 | 2006-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
Find all providers in zip 37814 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366627028 | Angelo Del Priore Dpm | Podiatrist | 290 Madison Ave, Suite 3a, Morristown, NJ 07960-7401 | 2007-12-31 |
1083897730 | Morristown Foot Clinic, PC | Podiatrist | 1457 W Morris Blvd, Suite D, Morristown, TN 37813-2828 | 2007-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497215438 | Sandberg Foot Health Center PC | Podiatrist | 116 Concord Rd Ste 300, Knoxville, TN 37934-2941 | 2019-03-25 |
1912202516 | Northwest Tennessee Foot Clinic, Pllc | Podiatrist | 1020 E Reelfoot Ave, Union City, TN 38261-6051 | 2011-01-13 |
1114158144 | Tomika Thomas Dpm | Podiatrist | 6775 Watergrove Dr, Memphis, TN 38119-8658 | 2009-08-08 |
1407021926 | Steve K Chase Dpm PC | Podiatrist | 7174 Stage Rd Ste 123, Bartlett, TN 38133-8954 | 2008-04-25 |
1376723163 | Associated Podiatrists of Tennessee | Podiatrist | 100 Medical Center Ct, Clarksville, TN 37043-4546 | 2007-11-08 |
1417140070 | Timothy L. Gardner,dpm | Podiatrist | 10810 Parkside Dr Ste 202, Knoxville, TN 37934-1981 | 2007-08-27 |
1437297595 | Oliver Foot Clinic, Inc. | Podiatrist | 635 N. Main Street, Suite A, Shelbyville, TN 37160-3235 | 2007-02-01 |
1134161979 | David Michael Velarde | Podiatrist | 2824 Merchants Dr, Knoxville, TN 37912-4905 | 2006-06-12 |
1720039779 | Carol A. Akerman | Podiatrist | 2725 Asbury Rd, Suite 102, Knoxville, TN 37914-6441 | 2006-05-15 |
1033109327 | Paul Benjamin Schodowski | Podiatrist | 2004 American Way, Suite 115, Kingsport, TN 37660-4673 | 2005-10-27 |
Find all providers with the same taxonomy |
City | MORRISTOWN |
Zip Code | 37814 |
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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.