Individual provider Active NPI

Paul J Creary, MD

  • Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1295706125
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD024486E Issued in PA
Practice address
205 South Front Street
8TH Floor Bma
Harrisburg, PA 17104-1619
Phone
(717) 231-8700
Fax
(717) 231-8753
NPI assigned
Jan 30, 2006
Last updated
Sep 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD024486E PA Primary

Addresses

Primary practice location

205 South Front Street
8TH Floor Bma
Harrisburg, PA 17104-1619

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612

Other identifiers 1

IdentifierTypeStateIssuer
000898823MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100712000151 PA Practitioner - General Surgery 2466584438 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Pinnacle Hospitals Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 1, 1984 Accepting new patients
Upmc Pinnacle Hospitals CurrentSince Sep 1, 2015 Accepting new patients
Pinnacle Health Hospitals Surgery CurrentSince Sep 1, 2015 Accepting new patients
J C Blair Medical Services Inc Surgery CurrentSince Oct 1, 2014 Accepting new patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 1, 1984 Accepting new patients

Locations

205 S Front St
Fl 8
Harrisburg, PA 17104
Phone (717) 231-8810

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2626 N 3rd St
Ste 2B
Harrisburg, PA 17110
Phone (717) 231-8960

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

875 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 652-1107

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-8485

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1295706125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SOUTH FRONT STREET",
            "address_2": "8TH FLOOR BMA",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041619",
            "telephone_number": "717-231-8700",
            "fax_number": "717-231-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREARY",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD024486E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000898823",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.