Organization Active NPI

Rehabilitation Medical Group

Doing business as Michael J Creamer DO

  • Non-Pharmacy Dispensing Site
  • Orlando, FL
National Provider Identifier
1922041243
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
056307 Issued in FL
Legal business name
REHABILITATION MEDICAL GROUP
Doing business as
Michael J Creamer DO
Practice address
100 W Gore St
Ste 203
Orlando, FL 32806-1044
Phone
(407) 649-8707
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Jeff Bogan
Title
Phcy MGR
Phone
(904) 962-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 056307 FL Primary

Addresses

Primary practice location

100 W Gore St
Ste 203
Orlando, FL 32806-1044

Mailing address

Linear RX
PO Box 10890
Jacksonville, FL 32247

Other identifiers 2

IdentifierTypeStateIssuer
1016270OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1016270OtherOTHER ID NUMBER

Other names 1

  • MICHAEL J CREAMER DO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donald Geldart MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1922041243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LINEAR RX",
            "address_2": "PO BOX 10890",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST",
            "address_2": "STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061044",
            "telephone_number": "407-649-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PHCY MGR",
        "authorized_official_telephone_number": "904-962-2123"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "056307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1016270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1016270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHAEL J CREAMER DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.