NPIMap

Individual provider Active NPI

James C. Creech, M.D.

  • Family Medicine Physician
  • Estherville, IA
National Provider Identifier
1336190685
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26635 Issued in IA
Practice address
926 N 8TH St
Estherville, IA 51334-1300
Phone
(712) 362-5650
Fax
(712) 362-7190
NPI assigned
May 12, 2006
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26635 IA Primary

Addresses

Primary practice location

926 N 8TH St
Estherville, IA 51334-1300

Mailing address

926 N 8TH St
Estherville, IA 51334-1300
Phone (712) 362-5650

Other identifiers 1

IdentifierTypeStateIssuer
0042580MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000111 IA Practitioner - Family Practice 1658281746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Holy FamilyGroup PAC ID 7113837428, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

826 N 8TH St
Estherville, IA 51334-1528
Phone (712) 362-2631

926 N 8TH St
Estherville, IA 51334-1300
Phone (712) 362-6501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26635IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Holy Family CurrentSince Jul 1, 1990 Accepting new patients
Avera Holy Family Current Accepting new patients
Avera Holy Family Current Accepting new patients

Locations

826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631

926 N 8th St
Estherville, IA 51334
Phone (712) 362-3501

Interoperability endpoints

  • Direct secure messaging: jim.creech@avera.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1336190685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N 8TH ST",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341300",
            "telephone_number": "712-362-5650",
            "fax_number": "712-362-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N 8TH ST",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341300",
            "telephone_number": "712-362-5650",
            "fax_number": "712-362-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREECH",
        "first_name": "JAMES",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "26635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042580",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estherville, IA

Sources for this page

Verify at the official NPI Registry.