Active NPI
Creekside Family Practice
- Family Medicine Physician
- Huntsville, AL
National Provider Identifier
1801097597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CREEKSIDE FAMILY PRACTICE
- Practice address
- 810 Franklin St SE
Huntsville, AL 35801-4310 - Phone
- (256) 551-6503
- Fax
- (256) 533-8935
- NPI assigned
- May 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Claude L Kinzer, M.D.
- Title
- President
- Phone
- (256) 551-6503
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
810 Franklin St SE
Huntsville, AL 35801-4310
Mailing address
810 Franklin St SE
Huntsville, AL 35801-4310
Phone (256) 551-6503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0302960 | Creekside Family Practice PC | Accreditation | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
810 Franklin St SE
#B
Huntsville, AL 35801
Phone (256) 551-6503
810 Franklin St SE
Huntsville, AL 35801
Phone (256) 533-7676
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1679150288
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1174587240
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1538123187
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1245763614
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1508820226
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1013354521
-
- Acute Care Nurse Practitioner
- Huntsville, AL
- NPI 1568996965
-
- Gerontology Nurse Practitioner
- Huntsville, AL
- NPI 1932608015
-
- Nephrology Physician
- Huntsville, AL
- NPI 1194947143
-
- Nurse Practitioner
- Huntsville, AL
- NPI 1366633893
-
- Nephrology Physician
- Huntsville, AL
- NPI 1265434450
-
- Nephrology Physician
- Huntsville, AL
- NPI 1881685089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184198400000",
"number": "1801097597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 FRANKLIN ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014310",
"telephone_number": "256-551-6503",
"fax_number": "256-533-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 FRANKLIN ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014310",
"telephone_number": "256-551-6503",
"fax_number": "256-533-8935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREEKSIDE FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-12",
"status": "A",
"authorized_official_last_name": "KINZER",
"authorized_official_first_name": "CLAUDE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-551-6503",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.