Individual provider Active NPI

Larry T Cremeans, DPM

  • Podiatrist
  • Newark, OH
National Provider Identifier
1730172966
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36001505 Issued in OH
Practice address
21 E Locust St
Newark, OH 43055-5529
Phone
(740) 345-6205
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36001505 OH Primary

Addresses

Primary practice location

21 E Locust St
Newark, OH 43055-5529

Mailing address

21 E Locust St
Newark, OH 43055-5529
Phone (740) 345-6205

Other identifiers 2

IdentifierTypeStateIssuer
CM000000116943OtherOHBCBS
0141448MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101217000076 OH Practitioner - Podiatry 9032307046 Practice locations: Newark, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 E Locust St
Newark, OH 43055-5529
Phone (740) 345-6205

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue374
Removal or shaving of skin growth117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36001505OHMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1730172966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E LOCUST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555529",
            "telephone_number": "740-345-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E LOCUST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555529",
            "telephone_number": "740-345-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREMEANS",
        "first_name": "LARRY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CM000000116943",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141448",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.