Thomas James Creelman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

09876 Issued in OR

Practice address

1270 Kot-Num Rd
Warm Springs Health and Wellness Center
Warm Springs, OR 97761-1209

Phone

(541) 553-1196

Fax

(541) 553-1130

NPI assigned

Aug 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Warm Springs Health and Wellness DHHS IHS Warm Springs Service Unit

  • Clinic/Center
  • Warm Springs, OR
  • NPI 1417084708

  TX

  Medicare reassignment NPD
• Confederated Tribes of the Warm Springs Reservation of Oregon

  • Clinic/Center
  • Warm Springs, OR
  • NPI 1700027927
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194717017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "977611209",
            "telephone_number": "541-553-1196",
            "fax_number": "541-553-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 KOT-NUM RD",
            "address_2": "WARM SPRINGS HEALTH AND WELLNESS CENTER",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "977611209",
            "telephone_number": "541-553-1196",
            "fax_number": "541-553-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREELMAN",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "09876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Confederated Tribes of the Warm Springs Reservation of Oregon
• Confederated Tribes of Warm Springs Reservation of Oregon
• Kacey Elizabeth Conyers, MS, RD, LD
• Rust Dee Corey, OD
• Sandra Lynn Cota, RDH
• Jeannette Delosangeles, PHARMD
• Denise Marie Devore, RN BSN
• Raneva J Dowty, PA
• Quynh-CHI Duong, PHARM.D.
• Lynette R Dziuk, OD

• Family Medicine Physician in Warm Springs, OR
• Providers in Warm Springs, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.