| North Creek Llc | |
|
910 South St Greenfield OH 45123-1249 | |
| (405) 053-3817 | |
| (937) 462-1385 |
| Full Name | North Creek Llc |
|---|---|
| Speciality | General Practice |
| Location | 910 South St, Greenfield, Ohio |
| Authorized Official Name and Position | Leslie Marie Stegall (OWNER) |
| Authorized Official Contact | 9374039108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Creek Llc Po Box 7 Greenfield OH 45123-0007 Ph: (937) 403-9108 | North Creek Llc 910 South St Greenfield OH 45123-1249 Ph: (405) 053-3817 |
| NPI Number | 1457858797 |
|---|---|
| Provider Enumeration Date | 04/12/2018 |
| Last Update Date | 03/05/2026 |
| Medicare PECOS PAC ID | 4284989377 |
|---|---|
| Medicare Enrollment ID | O20180613001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457858797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Angel L Villanueva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255370714 PECOS PAC ID: 4284620527 Enrollment ID: I20040422000855 |
| Provider Name | Jobeth Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225325210 PECOS PAC ID: 3476788332 Enrollment ID: I20150831001724 |
| Provider Name | Wayne Cummings |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1902832868 PECOS PAC ID: 6002198009 Enrollment ID: I20170127001143 |
| Provider Name | Charley Allen Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063968469 PECOS PAC ID: 7719109008 Enrollment ID: I20180712001608 |
| Provider Name | Leslie Marie Stegall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356875397 PECOS PAC ID: 3971854720 Enrollment ID: I20180918003928 |
Adena Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 536 Mirabeau St, Greenfield, OH 45123 Phone: 937-981-9444 Fax: 937-981-9448 | |
Highland District Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1092 Jefferson St, Greenfield, OH 45123 Phone: 937-981-1121 Fax: 937-981-5660 | |
Highland District Hospital Professional Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1092 Jefferson St, Greenfield, OH 45123 Phone: 937-981-1121 Fax: 937-981-5660 | |
Roman Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 State Route 28 W, Greenfield, OH 45123 Phone: 937-981-2880 | |
Highland Health Providers Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1092 Jefferson St, Greenfield, OH 45123 Phone: 937-989-1121 |