Creekview Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

058322 Issued in GA

Legal business name

CREEKVIEW PEDIATRICS LLC

Practice address

6335 Hospital Pkwy Ste 202
Johns Creek, GA 30097-1551

Phone

(770) 622-7742

Fax

(770) 622-7743

NPI assigned

Dec 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Moneesha Sahgal, M.D.

Title

Owner

Phone

(770) 622-7742

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1851694830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY STE 202",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971551",
            "telephone_number": "770-622-7742",
            "fax_number": "770-622-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY STE 202",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971551",
            "telephone_number": "770-622-7742",
            "fax_number": "770-622-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKVIEW PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "SAHGAL",
        "authorized_official_first_name": "MONEESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-622-7742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "058322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374925812A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crawford Long Hospital
• Crawford Long Hospital
• Crawford Long Hospital
• Crawford Long Hospital
• Creekside Oral Surgery Inc
• Joshua Crockett, LCSW
• Constance Cromartie, LPC
• Megan Elizabeth Cronic, SLP
• Katelyn Nicole Crook
• Mary Crumbliss, MSN, CPNP-PC

• Pediatrics Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.