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Individual

JOHN D. CREASY

Active
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Individual

JOHN D. CREASY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2026013073
MO
2085R0202X
Diagnostic Radiology Physician
Primary
31555
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200008400
WV
01
300108603
PGA (RR MEDICARE)
01
3140729
BCBS
TN
05
3844447
TN
05
64008402
KY
05
7205066
VA
01
R06903
JOHN DEERE
TN
Enumeration date
08/10/2005
Last updated
08/07/2026
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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