MEDICARE: DR. TIMOTHY CREANY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225500000X	Respiratory/Developmental/Rehabilitative Specialist/Technologist	37786	CO
2	207R00000X	Internal Medicine Physician	DR.0037786	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679534788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY CREANY M.D.

Provider Business Mailing Address
First Line	:	14062 DENVER WEST PKWY BLDG 52
Second Line	:	STE 150
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3187
Country	:	US
Telephone Number	:	303-893-8300
Fax Number	:	303-825-7927

Provider Business Practice Location Address
First Line	:	14062 DENVER WEST PKWY BLDG 52
Second Line	:	STE 150
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3187
Country	:	US
Telephone Number	:	303-893-8300
Fax Number	:	303-825-7927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	11/13/2013

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Directions to “ DR. TIMOTHY CREANY M.D.” Practice Location

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