Active NPI
Joel E McCreary, DO
- Anesthesiology Physician
- Boulder, CO
National Provider Identifier
1285873414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DR.0064755
- Practice address
- 1100 Balsam Ave
Boulder, CO 80304-3404 - Phone
- (303) 415-2532
- NPI assigned
- Feb 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4793 | AZ | |
| Anesthesiology Physician | 207L00000X | OP 60075830 | WA | |
| Anesthesiology Physician | 207L00000X | DR.0064755 | CO | Primary |
Addresses
Primary practice location
1100 Balsam Ave
Boulder, CO 80304-3404
Mailing address
PO Box 17389
Denver, CO 80217-0389
Phone (888) 900-3788
Other practice location 1
1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527
Phone (602) 262-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 644225 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7000
Hospital & facility affiliations
- Boulder Community Health
- Uchealth Broomfield Hospital
- Longs Peak Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4793 | AZ | MD | Chiropractor |
| DR.0064755 | CO | MD | Anesthesiology Physician |
| OP 60075830 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Valley Anesthesiology, PLLC | Anesthesiology | Current | Accepting new patients |
| Boulder Pain Institute, PC | Anesthesiology | Past | Accepting new patients |
| Pacific Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
4450 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-2532
1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000
10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Boulder, CO
- NPI 1962431668
-
- Pain Medicine (Anesthesiology) Physician
- Boulder, CO
- NPI 1639367493
-
- Anesthesiology Physician
- Tacoma, WA
- NPI 1497796452
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1285873414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17389",
"city": "DENVER",
"state": "CO",
"postal_code": "802170389",
"telephone_number": "888-900-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BALSAM AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043404",
"telephone_number": "303-415-2532"
}
],
"practiceLocations": [
{
"address_1": "1850 N Central Ave",
"address_2": "Suite 1600",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850044527",
"country_code": "US",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCREARY",
"first_name": "JOEL",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-11",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "4793",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "OP 60075830",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0064755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "644225",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.
- 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.