Individual provider Active NPI

Timothy Creany, M.D.

  • Internal Medicine Physician
  • Lakewood, CO
National Provider Identifier
1679534788
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0037786 Issued in CO
Practice address
14062 Denver West Pkwy BLDG 52
Ste 150
Lakewood, CO 80401-3187
Phone
(303) 893-8300
Fax
(303) 825-7927
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X 37786 CO
Internal Medicine Physician 207R00000X DR.0037786 CO Primary

Addresses

Primary practice location

14062 Denver West Pkwy BLDG 52
Ste 150
Lakewood, CO 80401-3187

Mailing address

14062 Denver West Pkwy BLDG 52
Ste 150
Lakewood, CO 80401-3187
Phone (303) 893-8300

Other identifiers 1

IdentifierTypeStateIssuer
51323354MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37786COMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Ekg Internal Medicine Past Accepting new patients
Indian Creek Medical Group Inc Internal Medicine PastSince Oct 31, 2015 Accepting new patients
Kenneth H Weisiger MD PC Internal Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1679534788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14062 DENVER WEST PKWY BLDG 52",
            "address_2": "STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013187",
            "telephone_number": "303-893-8300",
            "fax_number": "303-825-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14062 DENVER WEST PKWY BLDG 52",
            "address_2": "STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013187",
            "telephone_number": "303-893-8300",
            "fax_number": "303-825-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREANY",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "CO",
            "license": "37786",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0037786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51323354",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.