Active NPI
Robert E Creighton, D.P.M.
- Podiatrist
- Pinellas Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO0002015
- 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, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65137 | Other | FL | BLUE CROSS BLUE SHIELD |
| 2700457 | Other | FL | UNITED 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
Enrollment records 1
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
Practice addresses (Care Compare)
3491 Gandy Blvd N
Suite 107
Pinellas Park, FL 33781-2652
Phone (727) 384-5540
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 537 |
| Removal or shaving of skin growth | 107 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO0002015 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle & Foot Center of Tampa Bay | Podiatrist | Current | Accepting new patients |
| Ankle & Foot Center of Tampa Bay | Podiatrist | Current | Accepting new patients |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Podiatrist | Current | Accepting new patients |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Current | Accepting new patients | |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Podiatrist | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
-
- Foot & Ankle Surgery Podiatrist
- Riverview, FL
- NPI 1467622332
-
- Foot & Ankle Surgery Podiatrist
- Clearwater, FL
- NPI 1720258692
-
- Foot Surgery Podiatrist
- Orlando, FL
- NPI 1649585571
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Foot & Ankle Surgery Podiatrist
- Pinellas Park, FL
- NPI 1386814259
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.