DR. JOSEPH J CREELY III (NPI# 1912903469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912903469 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH J CREELY III |
| Credential | MD |
| Practice Address |
4950 Norton Healthcare Blvd Suite 209 Louisville KY 40241-2831 |
| Practice Telephone | 5024255556 |
| Practice Fax Number | 5024255655 |
| Mailing Telephone | 5024255556 |
| Mailing Fax Number | 5024255655 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2012-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 088562 | LA | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 32074 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64320740 | 05 | |
| KY | BCBS | 000000571067 | 01 |
| KY | TAX ID | 20-4612802 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922044171 | Joseph J Creely Jr. | Otolaryngology | 3645 Houma Blvd, Metairie, LA 70006 | 2006-06-22 |
| Street Address |
4950 NORTON HEALTHCARE BLVD SUITE 209 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205347952 | Chelsey Sparks | Nurse Practitioner | 4950 Norton Healthcare Blvd, 205, Louisville, KY 40241 | 2017-10-21 |
| 1881137131 | Maureen Kathleen Murray | Nurse Practitioner | 4950 Norton Healthcare Blvd, Suite 305, Louisville, KY 40241-2845 | 2016-11-18 |
| 1548718745 | Andrew Sorah | Physician Assistant | 4950 Norton Healthcare Blvd, Suite 205, Louisville, KY 40241-2845 | 2016-09-15 |
| 1427505122 | Christina Sevilla | Nurse Practitioner | 4950 Norton Healthcare Blvd, Suite 305, Louisville, KY 40241-2845 | 2016-09-09 |
| 1962959270 | Chase Parker Almgren | Physical Therapist | 4950 Norton Healthcare Blvd, Louisville, KY 40241-2845 | 2016-09-02 |
| 1336512680 | Sondra Kathleen Adkins | Clinic/Center | 4950 Norton Healthcare Blvd, Ste 305, Louisville, KY 40241-2845 | 2015-11-09 |
| 1649684812 | Amy Lynn Crush | Nurse Practitioner | 4950 Norton Healthcare Blvd, Ste. 205, Louisville, KY 40241-2845 | 2014-06-16 |
| 1467891804 | Rebecca A Parrish | Nurse Practitioner | 4950 Norton Healthcare Blvd, Suite 208, Louisville, KY 40241-2845 | 2013-06-19 |
| 1922347251 | Emily M. Houston | Physician Assistant | 4950 Norton Healthcare Blvd, Suite 205, Louisville, KY 40241-2845 | 2013-02-06 |
| 1992062756 | First Urology, Psc | Nurse Practitioner | 4950 Norton Healthcare Blvd, Suite 206, Louisville, KY 40241-2845 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720245657 | Sean Michael Maguire | Otolaryngology | 4600 Shelbyville Rd, Suite 220, Louisville, KY 40207-3326 | 2008-05-19 |
| 1548441850 | Dr. Harold Blevins | Otolaryngology | 5129 Dixie Hwy Ste 209, Louisville, KY 40216-1727 | 2007-11-15 |
| 1194929018 | Aesthetic Specialists Pllc | Otolaryngology | 10262 Shelbyville Rd, Louisville, KY 40223-2955 | 2007-06-13 |
| 1083731277 | Premier Ent and Allergy, Pllc | Otolaryngology | 2429 Bush Ridge Dr Ste 103, Louisville, KY 40245-5914 | 2007-03-23 |
| 1659420800 | Harold W. Blevins, M.d.,p.s.c. | Otolaryngology | 3999 Dutchmans Ln Ste 3a, Louisville, KY 40207-4747 | 2007-01-09 |
| 1912061599 | Jeffrey Brian Jorgensen | Otolaryngology | 401 E Chestnut St Unit 170, Louisville, KY 40202 | 2006-12-20 |
| 1821046426 | Harold W Blevins | Otolaryngology | 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207-4714 | 2006-05-05 |
| 1023006681 | Carl D Coppola | Otolaryngology | 2429 Bush Ridge Drive, Suite 103, Louisville, KY 40245-5914 | 2005-10-07 |
| 1730188285 | Jolene H Boswell | Otolaryngology | 4600 Shelbyville Rd Ste 220, Louisville, KY 40207-3398 | 2005-07-18 |
| 1467450049 | Andrew Simon Mickler | Otolaryngology | 3999 Dutchmans Ln, Suburban Medical Plaza I Ste 2g, Louisville, KY 40207-4729 | 2005-07-08 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
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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.