Individual
DR. RYAN NICHOLAS CRETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 ALA MOANA BLVD STE 5B, HONOLULU, HI 96813
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-40698
KS
2085R0202X
Diagnostic Radiology Physician
30603
NE
2085R0202X
Diagnostic Radiology Physician
59757
CO
2085R0202X
Diagnostic Radiology Physician
Primary
MD-15289
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025709000
—
NE
05
—
10026277300
—
NE
05
—
10026277400
—
NE
05
—
10026277500
—
NE
05
—
10026277600
—
NE
05
—
10026277700
—
NE
05
—
10026277800
—
NE
01
—
111257114
MEDICARE
KS
01
—
627576AE6Y
MEDICARE
CO
01
—
627576YQ33
MEDICARE
CO
01
—
627576YQN9
MEDICARE
CO
01
—
627576YQPG
MEDICARE
CO
01
—
627576ZLJ3
MEDICARE
CO
01
—
627576ZNTB
MEDICARE
CO
05
—
84059792913
—
NE
05
—
84089712600
—
NE
05
—
9000156797
—
CO
01
—
H104776
MEDICARE
HI
01
—
H104995
MEDICARE
HI
01
—
H111054
MEDICARE
HI
01
—
KA3249105
MEDICARE
KS
01
—
NA1214127
MEDICARE
NE
01
—
NA1215128
MEDICARE
NE
01
—
NA2517105
MEDICARE
NE
Enumeration date
06/30/2008
Last updated
12/09/2022
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