Creekside Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CREEKSIDE URGENT CARE LLC

Practice address

1101 NW 178TH St Ste B
Edmond, OK 73012-4281

Phone

(405) 285-2161

Fax

(405) 726-8277

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Tommy Dean Camp, PANPI 1508807520

Title

Provider

Phone

(405) 285-2161

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tommy Dean Camp, P.A.

  • Medical Physician Assistant
  • Edmond, OK
  • NPI 1508807520
  NPD Authorized official
• Larry Lovelace, DO

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1275511735
  NPD
• Robert R Young, PA

  • Physician Assistant
  • Shawnee, OK
  • NPI 1730139015
  NPD (past)
• Nikki Zybach, P.A.

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1457565988
  NPD (past)

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1902426737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NW 178TH ST STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124281",
            "telephone_number": "405-285-2161",
            "fax_number": "405-726-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NW 178TH ST STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124281",
            "telephone_number": "405-285-2161",
            "fax_number": "405-726-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "405-285-2161",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Care Pharmacy, LLC
• Creative Care Pharmacy, LLC
• Claire Elaine Creecy, APRN
• Creekside Speech Therapy, LLC
• Creekside Therapy Associates, LLC
• Allyson Crenshaw, RBT
• Claire Renee Crismon
• Phoenix Rayne Crismon
• Paris Criswell
• Chasity Nichole Crockett, RN

• Urgent Care Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Urgent Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.