NPI 1821037896 · live from the CMS NPI Registry
Gregory Creel, PA
Physician Assistant in Parkersburg, WV. National Provider Identifier 1821037896, active.
NPI record
| NPI | 1821037896 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 800 Garfield Ave, Parkersburg, WV 26101 |
| Practice phone | 304-424-2111 |
| Mailing address | 1103 Juliana St, Parkersburg, WV 26101 |
| Enumerated | June 5, 2006 |
| Last updated | June 4, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 644 (WV) |
| Physician Assistant primary | 363A00000X | 102162 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.