SAMUEL JOSHUA CREEKMORE III (NPI# 1578538591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578538591 |
| Entity Type | Individual |
| Full Name | SAMUEL JOSHUA CREEKMORE III |
| Credential | M.D. |
| Practice Address |
216 Oxford Rd New Albany MS 38652-3115 |
| Practice Telephone | 6625349042 |
| Practice Fax Number | 6625349707 |
| Mailing Telephone | 6625349042 |
| Mailing Fax Number | 6625349707 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 06178 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00013582 | 05 |
| Street Address |
216 OXFORD RD |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104327667 | Hailey Ott Davis | Nurse Practitioner | 216 Oxford Rd, New Albany, MS 38652-3115 | 2018-02-21 |
| 1689185464 | Heaven Adams Robbins | Nurse Practitioner | 216 Oxford Rd, New Albany, MS 38652-3115 | 2017-10-19 |
| 1639605967 | Lyndie C Scott | Nurse Practitioner | 216 Oxford Rd, New Albany, MS 38652-3115 | 2017-05-05 |
| 1427421528 | Correal J Garrison | Registered Nurse | 216 Oxford Rd, New Albany, MS 38652-3115 | 2015-11-11 |
| 1689940769 | Candace P Mcgreger | Nurse Practitioner | 216 Oxford Rd, New Albany, MS 38652-3115 | 2012-03-22 |
| 1790751469 | Ronald B Scott | Family Medicine | 216 Oxford Rd, New Albany, MS 38652-3115 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760858450 | Coast To Coast California | Family Medicine | 5195 Hampsted Village Center Way, Suite 256, New Albany, OH 43054-8331 | 2015-08-17 |
| 1730482779 | Floyd Memorial Medical Group LLC | Family Medicine | 1425 State St Ste 210, New Albany, IN 47150-4977 | 2010-12-14 |
| 1063656007 | Mudasir Anwar Abro | Family Medicine | 6420 Hilltop Trail Dr, New Albany, OH 43054-5018 | 2009-04-21 |
| 1376782094 | Matthew James Farrell | Family Medicine | 240 Market St, New Albany, OH 43054-7095 | 2009-02-19 |
| 1073631164 | Creekmore Clinic, P.l.l.c. | Family Medicine | 216 Oxford Road, New Albany, MS 38652-3115 | 2007-03-27 |
| 1982625505 | Steven E Ross | Family Medicine | 6525 W Campus Oval, Suite 150, New Albany, OH 43054-8830 | 2006-07-21 |
| 1154362283 | David Kageorge | Family Medicine | 240 Market St Ste A, New Albany, OH 43054-7094 | 2006-06-09 |
| 1760429914 | Bryan Ghiloni | Family Medicine | 55 N High St, New Albany, OH 43054-7099 | 2006-05-31 |
| 1720044456 | Stephen Milan Shirley | Family Medicine | 400 Doctors Dr, New Albany, MS 38652-3109 | 2006-04-21 |
| 1972580942 | Rene V Blaha | Family Medicine | 5031 Forest Dr, Suite B, New Albany, OH 43054-7088 | 2005-12-29 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
Please comment or provide details below to improve the information on SAMUEL JOSHUA CREEKMORE III.
| 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.