Fred T Creech MD PA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME72519 Issued in FL

Legal business name

FRED T CREECH MD PA

Practice address

304 Del Prado Blvd S Ste C
Cape Coral, FL 33990-5704

Phone

(239) 458-1700

Fax

(239) 458-1887

NPI assigned

Jun 27, 2007

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fred T Creech III, M.D.NPI 1982603528

Title

President

Phone

(239) 458-1700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fred Tarry Creech III, M.D.

  • Dermatology Physician
  • Cape Coral, FL
  • NPI 1982603528
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1033315858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 DEL PRADO BLVD S STE C",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905704",
            "telephone_number": "239-458-1700",
            "fax_number": "239-458-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 DEL PRADO BLVD S STE C",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905704",
            "telephone_number": "239-458-1700",
            "fax_number": "239-458-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED T CREECH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-458-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME72519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Frankel, M.D.
• Virginia Emma Frankel, M.ED., M.S., CF-SLP
• Emily Franz, DPT, MBA
• Jason Daniel Franzone
• Michelle Frazin, RN
• Claudine Frederiks, MD
• Ana Marie Freed, RN
• Joseph Freedman, M.D., MBA
• Yaneidys Freire Alfonso
• Caroline Freya Kira Fretter, MD

• Procedural Dermatology Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.