PATRICK TYE CREASY PA NPI 1992000574

NPI Information

NPI: 1992000574
Provider Name: PATRICK TYE CREASY, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
900 E WASHINGTON ST
SUITE 301
COLTON, CA
ZIP 92324
Phone: (909) 370-0300
Get Directions

Patrick Tye Creasy, PA is a medical physician assistant in Colton, CA. Patrick Tye Creasy, PA NPI is 1992000574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 E WASHINGTON ST
SUITE 301
COLTON, CA
ZIP 92324-111
Phone: (909) 370-0300
Fax: (909) 370-0303

The enumeration date for this NPI number is 1/12/2011 and was last updated on 10/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA21414	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	PA21414	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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