Creekside Specialty Physicians LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CREEKSIDE SPECIALTY PHYSICIANS LLC

Practice address

120 Old Laramie TRL E
Lafayette, CO 80026-7012

Phone

(303) 926-9800

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Matthew P Orourke

Title

Ceo

Phone

(303) 902-5657

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1841621406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE SPECIALTY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "OROURKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-902-5657"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Craig, D.D.S., M.S.
• Zoey Alexandra Crane, PA-C
• Fred A Crawford III, MD
• Richard A Creamer
• Creekside Cancer Care LLC
• Katie Croft
• Alyssa Nicole Cropp
• Croswaite Counseling, PLLC
• Misty D Crumbaugh
• Amy Crye, MS

• Specialist in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.