CREEKSIDE MEDICAL LLC – NPI #1487167052
Electrodiagnostic Medicine

Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.

CREEKSIDE MEDICAL LLC is a provider located in CHEYENNE, WY. NPPES has assigned the NPI number 1487167052 to CREEKSIDE MEDICAL LLC on November 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204R00000X from the Health Care Provider Taxonomy code set, which is classified as Electrodiagnostic Medicine.

The NPI profile was previously updated about 8 years ago on Sep 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CREEKSIDE MEDICAL LLC below.

NPI Profile for
CREEKSIDE MEDICAL LLC

NPI Number
1487167052
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CREEKSIDE MEDICAL LLC
Primary location
1910 THOMES AVE
CHEYENNE, WY 82001-3527
Phone: (425) 890-6239 Fax:
Mailing address
4580 KLAHANIE DR SE # 252
ISSAQUAH, WA 98029-5812
Phone: (833) 613-9084 Fax:
Organization Subpart
No
Authorized Official
MATTHEW WAVRA
MANAGING MEMBER
Phone: (425) 890-6239
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204R00000X
- Electrodiagnostic Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.