Active NPI
Jonathan Dale Edward Creech, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- E-14444
- Practice address
- 3317 N Wimberly Dr
Fayetteville, AR 72703-4056 - Phone
- (479) 521-2752
- Fax
- (479) 521-4603
- NPI assigned
- Apr 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | E-14444 | AR | Primary |
Addresses
Primary practice location
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Mailing address
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone (479) 521-2752
Other practice location 1
603-2 N Progress Ave Ste 600
Siloam Springs, AR 72761-4610
Phone (479) 521-2752
Other practice location 2
1800 SE Moberly Ln
Bentonville, AR 72712-7017
Phone (479) 521-2752
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jonathan.creech.1@18403.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loma Linda University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321
210 Rice St
Berryville, AR 72616-4388
Phone (870) 423-6789
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone (479) 521-2752
Hospital & facility affiliations
- Enhabit Home Health
- Elite Home Health
- Washington Regional Medical Center
- Siloam Springs Regional Hospital
- Northwest Medical Center-Springdale
- Mercy Hospital Northwest Arkansas
- Mercy Hospital Fort Smith
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.41 of 100
- Quality
- 79.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 93 |
| Knee replacement | 111 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Orthopaedics, P.a. | Adult Reconstructive Orthopaedic Surgery | Current | Accepting new patients |
| Ozark Orthopaedics, PA | Adult Reconstructive Orthopaedic Surgery | Current | Accepting new patients |
| Ozark Orthopaedics, P.a. | Adult Reconstructive Orthopaedic Surgery | Past | Accepting new patients |
Locations
1800 SE Moberly Ln
Bentonville, AR 72712
Phone (479) 521-2752
3317 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 521-2752
603-2 N Progress Ave
Ste 600
Siloam Springs, AR 72761
Phone (479) 524-6188
603-2 N Progress Ave
Ste 600
Siloam Springs, AR 72761
Phone (479) 521-2752
Interoperability endpoints
- jcreech23175@washingtonregional.direct-ci.com
- jcreech62116@direct.llu.edu
- jonathan.creech.1@18403.direct.athenahealth.com
- https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1649210584
Adult Reconstructive Orthopaedic Surgery
-
- Physical Therapist
- Alma, AR
- NPI 1518936418
-
- Physical Therapy Clinic/Center
- Berryville, AR
- NPI 1700843612
-
- Orthopaedic Surgery Physician
- Siloam Springs, AR
- NPI 1255164570
Adult Reconstructive Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Siloam Springs, AR
- NPI 1649614231
Adult Reconstructive Orthopaedic Surgery
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springdale, AR
- NPI 1497132203
-
- Home Health Agency
- Springdale, AR
- NPI 1043557788
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- General Acute Care Hospital
- Siloam Springs, AR
- NPI 1902051816
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1922495779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 N WIMBERLY DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034056",
"telephone_number": "479-521-2752",
"fax_number": "479-521-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 N WIMBERLY DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034056",
"telephone_number": "479-521-2752",
"fax_number": "479-521-4603"
}
],
"practiceLocations": [
{
"address_1": "603-2 N Progress Ave Ste 600",
"address_purpose": "LOCATION",
"city": "Siloam Springs",
"state": "AR",
"postal_code": "727614610",
"country_code": "US",
"telephone_number": "479-521-2752",
"fax_number": "479-521-4603",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 SE Moberly Ln",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727127017",
"country_code": "US",
"telephone_number": "479-521-2752",
"fax_number": "479-521-4603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREECH",
"first_name": "JONATHAN",
"middle_name": "DALE EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-20",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "AR",
"license": "E-14444",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jonathan.creech.1@18403.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "direct messaging to Athena",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3317 N Wimberly Dr",
"city": "Fayetteville",
"state": "AR",
"country_code": "US",
"postal_code": "727034056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.