North Creek LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NORTH CREEK LLC

Practice address

1020 Jefferson St
Greenfield, OH 45123-8319

Phone

(937) 403-9108

Fax

(740) 362-1385

NPI assigned

Apr 12, 2018

Last updated

Sep 18, 2026By 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

Leslie Marie StegallNPI 1356875397

Title

Owner

Phone

(937) 403-9108

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Marie Stegall, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenfield, OH
  • NPI 1356875397
  Medicare reassignment NPD Authorized official
• Jobeth E. B. Lee, M.D.

  • Family Medicine Physician
  • Hillsboro, OH
  • NPI 1225325210
  Medicare reassignment NPD
• Charley Allen Roman, NP-C

  • Family Nurse Practitioner
  • Chillicothe, OH
  • NPI 1063968469
  Medicare reassignment NPD
• Angel L Villanueva Jr., MD

  • Psychiatry Physician
  • Columbus, OH
  • NPI 1255370714
  Medicare reassignment NPD

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1457858797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451230007",
            "telephone_number": "937-403-9108",
            "fax_number": "937-462-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 JEFFERSON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451238319",
            "telephone_number": "937-403-9108",
            "fax_number": "740-362-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "STEGALL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-403-9108"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Mitchell
• Richard D Mizer, MD
• Andrea Sue Moore, LPN
• Robert Daniel Mullins, RPH
• Stephanie Newman
• David Lee Olaker Jr., RPH
• Olaker's Apothecary, LLC. (Stewart's Pharmacy)
• Olakers Apothecary LLC (Stewart's Pharmacy)
• Brandice Padgett
• Paint Creek Joint EMS Fire District

• General Practice Physician in Greenfield, OH
• Providers in Greenfield, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.