Aeric Wynn Creekmore (NPI# 1144625732, PAC ID# 5890013445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1144625732 |
PAC ID by PECOS | 5890013445 |
Professional Enrollment ID | I20150413000467 |
Full Name | Aeric Wynn Creekmore |
Organization Legal Name | HOLDENVILLE HOSPITAL AUTHORITY |
Address |
100 Mcdougal Dr Holdenville OK 74848-2822 |
Gender | M |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6002031424 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
371321 | HOLDENVILLE GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
100 Mcdougal Dr, Holdenville, OK 74848-2822 | HOLDENVILLE HOSPITAL AUTHORITY | |
1401 W 1st St, Wewoka, OK 74884-5097 | 4052573396 | HOLDENVILLE HOSPITAL AUTHORITY |
Organization Legal Name | HOLDENVILLE HOSPITAL AUTHORITY |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julia A Dority | Nurse Practitioner | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Douglas G Duffy | Physician Assistant | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Karis Ashley Rodriguez | Nurse Practitioner | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
James N Click | Physician Assistant | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Michael J Gibson | Physician Assistant | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Antoine M Khalaf | General Practice | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Amy M Ashley | Nurse Practitioner | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Glenn A Crowson | Family Medicine | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Curtis Lee Matzkvech | Physician Assistant | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Thomas H Osborn Jr. | Family Practice | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Street Address |
100 MCDOUGAL DR |
City | HOLDENVILLE |
State | OK |
Zip | 74848-2822 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julia A Dority | Nurse Practitioner | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Douglas G Duffy | Physician Assistant | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Karis Ashley Rodriguez | Nurse Practitioner | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
James N Click | Physician Assistant | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Michael J Gibson | Physician Assistant | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Antoine M Khalaf | General Practice | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Amy M Ashley | Nurse Practitioner | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Glenn A Crowson | Family Medicine | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Curtis Lee Matzkvech | Physician Assistant | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Thomas H Osborn Jr. | Family Practice | Holdenville Hospital Authority | 100 Mcdougal Dr, Holdenville, OK 74848-2822 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Willard Freeman | Chiropractic | 102 E Main St, 2nd Floor, Holdenville, OK 74848-3208 | |
Don A Shields | Chiropractic | 112 S Echo St, Holdenville, OK 74848-3228 | |
Stephanie Keesee | Nurse Practitioner | 201 N Hinckley St, Holdenville, OK 74848-5449 | |
Laura K Arthur | Chiropractic | 3320 Hwy 75, Holdenville, OK 74848-6234 |
City | HOLDENVILLE |
Zip Code | 74848 |
Specialty | NURSE PRACTITIONER |
City + Specialty | HOLDENVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Aeric Wynn Creekmore.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.