PATRICK TYE CREASY (NPI# 1992000574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992000574 |
| Entity Type | Individual |
| Full Name | PATRICK TYE CREASY |
| Credential | PA |
| Practice Address |
900 E Washington St Suite 301 Colton CA 92324-7111 |
| Practice Telephone | 9093700300 |
| Practice Fax Number | 9093700303 |
| Mailing Telephone | 9093700300 |
| Mailing Fax Number | 9093700303 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2013-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21414 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA21414 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 E WASHINGTON ST SUITE 301 |
| City | COLTON |
| State | CA |
| Zip Code | 92324-7111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114764 | Premier Outpatient Surgery Center, Inc. | Clinic/Center | 900 E Washington St, Ste 155, Colton, CA 92324-4196 | 2005-06-17 |
| 1184163016 | Global Anesthesia Services Inc A Professional Nursing Corporation | Nurse Anesthetist, Certified Registered | 900 E Washington St, Suite 155, Colton, CA 92324-7111 | 2017-02-12 |
| 1740653385 | Premier Surgery Center, Inc. | Clinic/Center | 900 E Washington St, Colton, CA 92324-7111 | 2015-11-04 |
| 1598190589 | Mission Imaging Inc | Clinic/Center | 900 E Washington St, Suite 150, Colton, CA 92324-7111 | 2013-09-09 |
| 1306183835 | Jiensup Kim Md A Professional Corporation | Specialist | 900 E Washington St, Suite 100a, Colton, CA 92324-4120 | 2013-01-03 |
| 1629313739 | Colton Ca Multi Asc Lp | Clinic/Center | 900 E Washington St, Suite 155, Colton, CA 92324-7111 | 2012-11-29 |
| 1346508983 | Barry A Wood | Physical Therapist | 900 E Washington St, Ste. 100, Colton, CA 92324-7111 | 2012-05-02 |
| 1417229303 | Patrick Jerome Wymore | Chiropractor | 900 E Washington St, Suite 300, Colton, CA 92324-7111 | 2012-02-07 |
| 1568759082 | University Spine and Orthopedics | Orthopaedic Surgery | 900 E Washington St, Suite 100, Colton, CA 92324-7111 | 2011-07-05 |
| 1740427012 | Al Jose Quintana | Physician Assistant | 900 E Washington St, Suite 200, Colton, CA 92324-7111 | 2009-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629171970 | Udofot Philip Ntia | Physician Assistant | 415 W Valley Blvd Ste 5, Colton, CA 92324-2268 | 2006-09-05 |
| 1225670607 | Rose Margaret Carlson | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1819 | 2019-10-17 |
| 1053782920 | Ryan Scott Cates | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2015-10-16 |
| 1780054858 | William August Diez Jr. | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2015-10-01 |
| 1235534108 | Megan Holt | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2014-11-04 |
| 1366843831 | Ashley M Tavarez | Physician Assistant | 400 N Pepper Ave, Emergency Department, Colton, CA 92324-1801 | 2014-09-15 |
| 1578962049 | Richard Martin Grandquist IIi | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2014-08-20 |
| 1821406018 | Alicia Jones | Physician Assistant | 8 Gulf Rd, Colton, NY 13625-3257 | 2014-07-31 |
| 1750711305 | Scott Luis Martin | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-11-18 |
| 1356770606 | Diane Schoendienst | Physician Assistant | 400 N Pepper Ave Ste 1m107, Colton, CA 92324-1801 | 2013-11-07 |
| Find all providers in COLTON | ||||
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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.