Creekside Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CREEKSIDE MEDICAL GROUP

Practice address

2042 Creekside Landing Dr
Apex, NC 27502-3982

Phone

(919) 554-6756

NPI assigned

Jan 5, 2012

Last updated

Jan 5, 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

Henry Newton Pleasant, MD

Title

Director

Phone

(919) 554-6754

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1255601407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 CREEKSIDE LANDING DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023982",
            "telephone_number": "919-554-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 CREEKSIDE LANDING DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023982",
            "telephone_number": "919-554-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "PLEASANT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-554-6754",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Frye Covington
• Wendy Lynn Cox, MA
• Credo Lactation LLC
• Creech Chiropractic Center DC PA
• David Charles Creech, DC
• Creekside Womens Center
• Bryan Creidler
• Andrea Lynell Croom, AGNP-C
• Rodney Crooms, MED.
• Jasmine Marie Cross, LCSW

• Specialist in Apex, NC
• Providers in Apex, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.