Charles Edward Creagh Jr., M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

11657 Issued in SC

Practice address

124 Glenwood Dr
Rock Hill, SC 29732-1817

Phone

(803) 324-5280

Fax

(803) 328-0270

NPI assigned

Aug 24, 2005

Last updated

Jan 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Pulmonary Physicians, PA

  • Pulmonary Disease Physician
  • Rock Hill, SC
  • NPI 1932152485
  NPD (past)
• Tri-County Pulmonary and Critical Care PLLC

  • Pulmonary Disease Physician
  • Denver, NC
  • NPI 1831635598
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1972596039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GLENWOOD DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321817",
            "telephone_number": "803-324-5280",
            "fax_number": "803-328-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GLENWOOD DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321817",
            "telephone_number": "803-324-5280",
            "fax_number": "803-328-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAGH",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "11657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1513",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher R. Crawford, M.D.
• Jamila Michelle Crawford, M.D.
• Pamela Crawford
• Stacy Crawford
• Tessa Joanne Crawford, MS, LPC
• Create Mindful Moments, LLC
• Adriel Crispo
• Iyahna Crockett
• Nicole Ann Cronquist, LPC
• Charles Albert Crosby Sr., DDS

• Pulmonary Disease Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Pulmonary Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.