MEDICARE: DR. STEVEN RANDALL CREASY MD

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	207P00000X	Emergency Medicine Physician	39890	TN
2	207P00000X	Emergency Medicine Physician	18003	MS

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4108263	OTHER	TN	BLUE CROSS

General Provider Information

NPI Number	:	1265472203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN RANDALL CREASY MD

Provider Business Mailing Address
First Line	:	PO BOX 634706
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 W POPLAR AVE
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-0601
Country	:	US
Telephone Number	:	901-861-9000
Fax Number	:

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	11/30/2007

Similar Medicare Providers

1578569034 — JOY C BURBECK M.D.
Practice Location Address:

1500 W POPLAR AVE , STE 206
COLLIERVILLE, TN
38017-0601

Practice Phone: 901-850-1170
Practice Fax: 901-850-1169

1174524508 — REBECCA R MCINTYRE M.D.
Practice Location Address:

1500 W POPLAR AVE , SUITE 308
COLLIERVILLE, TN
38017-0601

Practice Phone: 901-414-0017
Practice Fax: 901-726-0210

1972551364 — DR. WILLIAM GREGORY MULLINAX M.D.
Practice Location Address:

1500 W POPLAR AVE
COLLIERVILLE, TN
38017-0601

Practice Phone: 901-226-2800
Practice Fax: 901-226-2802

1922055631 — VALERIE M WATTERS-BURKE FNP
Practice Location Address:

1500 W POPLAR AVE
COLLIERVILLE, TN
38017-0601

Practice Phone: 901-861-9000
Practice Fax:

1548209828 — TRACY R WALKER CRNA
Practice Location Address:

1500 W POPLAR AVE
COLLIERVILLE, TN
38017-0601

Practice Phone: 901-861-9000
Practice Fax:

1740229319 — ROBERT WALTER KOCH MD
Practice Location Address:

1500 W POPLAR AVE
COLLIERVILLE, TN
38017-0601

Practice Phone: 901-861-9000
Practice Fax:

Directions to “ DR. STEVEN RANDALL CREASY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.