Harry Stone Creekmore, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD0000019119 Issued in TN

Practice address

2201 Lock B Rd N
Clarksville, TN 37043-8240

Phone

(931) 362-2840

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eclipse Pain Network, LLC

  • Pain Medicine Physician
  • Clarksville, TN
  • NPI 1679979959
  NPD (past)
• Tnmo Healthcare, LLC

  • Community Based Hospice Care Agency
  • Nashville, TN
  • NPI 1407807688
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1043259237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LOCK B RD N",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438240",
            "telephone_number": "931-362-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LOCK B RD N",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438240",
            "telephone_number": "931-362-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEKMORE",
        "first_name": "HARRY",
        "middle_name": "STONE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "MD0000019119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF KY",
            "identifier": "000000053405",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3039144",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1342006",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "0086392",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF KY",
            "identifier": "5354372",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Crawley, SLP
• Latisha Renee Crawley, BS
• Benjamin Scott Creasman, RN
• Christina Larin Creech, RPH, PHARMD
• Savannah Creech
• Danielle Creighton
• Stephanie Crews, PHARMD
• Crider Company , Dba Angels Helping Hands
• Benjamin Crider
• Haley N Crider

• All providers in Clarksville, TN
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.