Creed Medical Group Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CREED MEDICAL GROUP INC

Doing business as

CREED MEDICAL GROUP INC

Practice address

9658 Baltimore Ave Ste 300
College Park, MD 20740-1346

Phone

(443) 878-0649

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Christian Sigwe

Title

President

Phone

(443) 878-0649

Specialties & licenses 1

Addresses

Other names 1

• CREED MEDICAL GROUP INC Doing business as

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1497444764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 SENECA RIDGE LN S",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762424",
            "telephone_number": "443-878-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9658 BALTIMORE AVE STE 300",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401346",
            "telephone_number": "443-878-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREED MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "SIGWE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-878-0649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREED MEDICAL GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonita Conner, MD
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• Osman S Dauda
• Veronica David, NP

• Behavior Analyst in College Park, MD
• Providers in College Park, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.