Creelman Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CREELMAN FAMILY PRACTICE PLLC

Practice address

712 S Burlington Blvd
Burlington, WA 98233-2212

Phone

(360) 757-0027

Fax

(360) 757-3698

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Christopher Creelman, MDNPI 1144247875

Title

Owner

Phone

(360) 757-0027

Specialties & licenses 1

Addresses

Other names 1

• Paul C Creelman MD ABFP & David D Shilling MD ABFP LLP ETAL Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Christopher Creelman, MD

  • Family Medicine Physician
  • Burlington, WA
  • NPI 1144247875
  Medicare reassignment Authorized official
• Sondra Marie Beck, ARNP

  • Family Nurse Practitioner
  • Burlington, WA
  • NPI 1134295330
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1174699391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332212",
            "telephone_number": "360-757-0027",
            "fax_number": "360-757-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332212",
            "telephone_number": "360-757-0027",
            "fax_number": "360-757-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREELMAN FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "CREELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-757-0027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul C Creelman MD ABFP & David D Shilling MD ABFP LLP ETAL",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Paul C Creelman MD ABFP & David D Shilling MD ABFP LLP ETAL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lacey Cope, SUDP
• Costco Wholesale Corporation (Costco Optical #662)
• Costco Wholesale Corporation (Costco Hearing Aid #662)
• Costco Wholesale Corporation
• Andrew Laurence Cree
• Paul Christopher Creelman, MD
• William Ralph Cummins, MS, CCC-SLP
• Curtis K. Wade, DDS,PS
• Jennifer Cutinho, OD
• Jill T. Czadek, BHA

• Family Medicine Physician in Burlington, WA
• Providers in Burlington, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.