Fred Tarry Creech III, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME 72519 Issued in FL

Practice address

304 Del Prado Blvd S
Unit C
Cape Coral, FL 33990-5705

Phone

(239) 458-1700

Fax

(239) 458-1887

NPI assigned

Jul 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1982603528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 DEL PRADO BLVD S",
            "address_2": "UNIT C",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905705",
            "telephone_number": "239-458-1700",
            "fax_number": "239-458-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 DEL PRADO BLVD S",
            "address_2": "UNIT C",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905705",
            "telephone_number": "239-458-1700",
            "fax_number": "239-458-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREECH",
        "first_name": "FRED",
        "middle_name": "TARRY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-16",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 72519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Cragin, FNP-BC
• Janielle Craig
• Melinda Crawford-Richardson, RPH.,CPH
• Brooklyne Crawford, RBT
• Marcia D Creech-Joyce, FNP,BC
• Danesa Crespo
• Crestline Business Communication LLC
• Monique Creus
• CRH Anesthesia of Cape Coral LLC
• Marta G Cribeiro

• Dermatology Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.