CREATIVE MEDICAL INSTITUTE, LTD. (NPI# 1629307632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629307632 |
| Entity Type | Organization |
| Organization Name | CREATIVE MEDICAL INSTITUTE, LTD. |
| Practice Address |
5589 Greenwich Rd 175 Virginia Beach VA 23462-6565 |
| Practice Telephone | 7574909311 |
| Practice Fax Number | 7574909266 |
| Mailing Telephone | 7574909311 |
| Mailing Fax Number | 7574909266 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |
| Authorized Official Name | CHRISTINE FORSYTH VAN VLEEK (MANAGER) |
| Authorized Official Telephone | 7574909311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
5589 GREENWICH RD 175 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-6565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723429 | Robert Arthur Nash | Psychiatry & Neurology | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2005-07-11 |
| 1194061697 | Cara Heinrich | Technician, Other | 5589 Greenwich Rd, #175, Virginia Beach, VA 23462-6565 | 2013-01-02 |
| 1235474800 | Tammy Cullipher | Technician, Health Information | 5589 Greenwich Rd, #175, Virginia Beach, VA 23462-6565 | 2012-12-07 |
| 1225373897 | Linda Willis | Technician, Other | 5589 Greenwich Rd, #175, Virginia Beach, VA 23462-6565 | 2012-12-07 |
| 1720332349 | Liberty Healthcare LLC | Family Medicine | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2012-11-05 |
| 1801155668 | Jessica Walton | Physical Therapy Assistant | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2012-05-14 |
| 1740559558 | Diane Lyn Masson | Physical Therapist | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2011-12-22 |
| 1942582036 | Oac Management LLC | Clinic/Center | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2011-09-14 |
| 1104083120 | Harriet R. Mccoy | Technician, Other | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2008-05-19 |
| 1871791533 | Thomas Joseph Berenguer | Obstetrics & Gynecology | 5589 Greenwich Rd, Suite 100, Virginia Beach, VA 23462-6565 | 2007-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226021 | Virginia Beach Neurology Ltd | Psychiatry & Neurology | 968 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3171 | 2018-12-07 |
| 1982862561 | Michelle Kelly Betz | Psychiatry & Neurology | 1950 Glenn Mitchell Dr Ste 200, Virginia Beach, VA 23456-0168 | 2008-05-30 |
| 1639269376 | Donald Edward Lamarche Jr. | Psychiatry & Neurology | 968 First Colonial Road, 103, Virginia Beach, VA 23454 | 2006-10-13 |
| 1326034794 | Pamela S Whiting Evans | Psychiatry & Neurology | 816 Independence Blvd, Suite 2h, Virginia Beach, VA 23455 | 2005-09-21 |
| 1194723429 | Robert Arthur Nash | Psychiatry & Neurology | 5589 Greenwich Rd, Suite 175, Virginia Beach, VA 23462-6565 | 2005-07-11 |
| 1235365503 | Headache Institute of Tidewater LLC | Psychiatry & Neurology | 780 Lynnhaven Pkwy, Suite 285, Virginia Beach, VA 23452-7332 | 2009-06-01 |
| 1659523942 | Sentara Medical Group | Psychiatry & Neurology | 1800 Camelot Dr, Suite 201, Virginia Beach, VA 23454-2440 | 2008-10-17 |
| 1215110952 | Patrick F. Kilhenny, Md, PC | Psychiatry & Neurology | 1201 First Colonial Rd, Virginia Beach, VA 23454-2217 | 2007-12-17 |
| 1487836433 | Neurology Institute of Virginia, Pllc | Psychiatry & Neurology | 1020 Independence Blvd, Suite 309, Virginia Beach, VA 23455-5500 | 2007-12-02 |
| 1932305307 | Renee Binder Schoenfeld | Psychiatry & Neurology | 297 Independence Blvd, Suite 126, Virginia Beach, VA 23462-2911 | 2007-06-22 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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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.