Mark G Creighton, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Hampton Bays, NY
NPI 1699704262 · NPPES record last updated Aug 9, 2010
Key facts
- NPI
- 1699704262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 207383 (NY)
- Practice address
- 182 W Montauk Hwy
Suite C-1
Hampton Bays, NY 11946-2345 - Phone
- (631) 723-0223
- Fax
- (631) 723-0323
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Icahn School of Medicine at Mount Sinai, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore Medical Group of the Mount Sinai School of Medicine
Practice addresses (Care Compare)
59 Southern Blvd
Nesconset, NY 11767-1090
Phone (631) 659-1700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111212000050 | NY | Practitioner - Orthopedic Surgery | 2365617909 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207383 | NY | MD | Orthopaedic Surgery Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Orthopaedic Surgery | Current |
Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current |
Accepting new patients |
Locations
5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
59 Southern Blvd
Nesconset, NY 11767
Phone (631) 628-5000
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 207383 | NY | Yes |
Addresses
Primary practice location
182 W Montauk Hwy
Suite C-1
Hampton Bays, NY 11946-2345
Mailing address
182 W Montauk Hwy
Suite C-1
Hampton Bays, NY 11946-2345
Phone (631) 723-0223
Other providers in Hampton Bays, NY
- Briana Nicole Cohen
- James Constantine
- Christine Coolidge
- Lisa Cordaro
- Elizabeth Mary Cramer
- Diane Patricia Crociata
- Barbara J Cusumano
- Hema Dalal
- Daniel Ahoubim MD PC
- Diane Daniels
All providers in Hampton Bays, NY · Orthopaedic Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.