Individual provider Active NPI

Robert E Creighton, D.P.M.

  • Podiatrist
  • Pinellas Park, FL
National Provider Identifier
1487631065
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0002015 Issued in FL
Practice address
3491 Gandy Blvd N Ste 107
Pinellas Park, FL 33781-2652
Phone
(727) 384-5540
Fax
(727) 384-5520
NPI assigned
Dec 27, 2005
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO0002015 FL Primary

Addresses

Primary practice location

3491 Gandy Blvd N Ste 107
Pinellas Park, FL 33781-2652

Mailing address

2835 W de Leon St
Suite 101
Tampa, FL 33609-4168
Phone (813) 254-6592

Other identifiers 2

IdentifierTypeStateIssuer
65137OtherFLBLUE CROSS BLUE SHIELD
2700457OtherFLUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000365 FL Practitioner - Podiatry 7012980022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

3491 Gandy Blvd N
Suite 107
Pinellas Park, FL 33781-2652
Phone (727) 384-5540

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue537
Removal or shaving of skin growth107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0002015FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Center of Tampa Bay Podiatrist CurrentSince Nov 3, 1989 Accepting new patients
Ankle & Foot Center of Tampa Bay Podiatrist CurrentSince Nov 3, 1989 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 9, 2021 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince Nov 9, 2021 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Ankle & Foot Center of Tampa Bay Podiatrist Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

3491 Gandy Blvd N
Ste 107
Pinellas Park, FL 33781
Phone (727) 273-7694

1408 W Reynolds St
Ste A
Plant City, FL 33563
Phone (813) 710-6591

13907 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 963-1833

2835 W De Leon St
Ste 101
Tampa, FL 33609
Phone (813) 254-4747

38105 13th Ave
Zephyrhills, FL 33542
Phone (813) 715-4747

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: robert.creighton.2@4399.direct.athenahealth.com

Organizations & group practices 9

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1487631065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094168",
            "telephone_number": "813-254-6592",
            "fax_number": "813-254-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 GANDY BLVD N STE 107",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812652",
            "telephone_number": "727-384-5540",
            "fax_number": "727-384-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIGHTON",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0002015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65137",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700457",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.