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CREEKSIDE PREMIER MEDICAL GROUP PLLC
NPI 1487217006
Internal Medicine - Hematology & Oncology in Tomball, TX

Active since April 18, 2019CLIA Certified · 7 labs
26940 KUYKENDAHL RD STE 200B, TOMBALL, TX 77375(346) 522-2550 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2019, Apr 18, 2019 (2 updates tracked since 2019).

About Creekside Premier Medical Group Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREEKSIDE PREMIER MEDICAL GROUP PLLC (NPI 1487217006) is a healthcare organization registered as a hematology & oncology in Tomball, Texas and active in the NPI registry since April 2019. The organization holds 7 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists David P Ellent, President, as its authorized official.

NPPES Registry Identity

NPI1487217006
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCREEKSIDE PREMIER MEDICAL GROUP PLLC
Location Address26940 KUYKENDAHL RD STE 200BTomball, TX 77375-3533
Mailing Address2255 E Mossy Oaks Rd Ste 500Spring, TX 77389-1813 · (281) 440-5300
Phone(346) 522-2550
Organization SubpartNo
Authorized OfficialDavid P EllentPresident · (281) 440-5300
Enumeration DateApril 18, 2019
Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1487217006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
26940 KUYKENDAHL RD STE 200B, Tomball, TX 77375
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Secondary Practice Locations 6

Location 13466 Discovery Creek Blvd Ste 600Spring, TX 77386-7129 · Phone (346) 522-2550
Location 2790 Generations Dr Ste 500BNew Braunfels, TX 78130-2613 · Phone (346) 522-2550
Location 324727 State Highway 249 # 120BTomball, TX 77375-7877 · Phone (346) 522-2550
Location 4130 Medical Center Pkwy Ste 6BHuntsville, TX 77340-4943 · Phone (346) 522-2550
Location 51710 W Lake Houston Pkwy Ste 260BKingwood, TX 77339-2571 · Phone (346) 522-2550
Location 62255 E Mossy Oaks Rd Ste 500Spring, TX 77389-1813 · Phone (346) 522-2550

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2322109

Creekside Premier Medical Group · Kingwood, TX
Active · expires Apr 14, 2027
CLIA Number45D2322109
Laboratory TypeIndependent
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorToni L. Patton
Laboratory Phone(281) 440-5300
Laboratory LocationCreekside Premier Medical Group1710 W Lake Houston Pkwy, Suite 260B, Kingwood, TX 77339
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2327177

Creekside Premier Medical Group · Spring, TX
Active · expires Jul 16, 2027
CLIA Number45D2327177
Laboratory TypeIndependent
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorSydney Myrick
Laboratory Phone(281) 410-4767
Laboratory LocationCreekside Premier Medical Group2255 E Mossy Oaks Rd, Suite 500, Spring, TX 77389
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2322100

Creekside Premier Medical Group · Huntsville, TX
Active · expires Apr 14, 2027
CLIA Number45D2322100
Laboratory TypeIndependent
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorSydney Myrick
Laboratory Phone(281) 410-4767
Laboratory LocationCreekside Premier Medical Group130 Medical Center Pkwy, Suite 6B, Huntsville, TX 77340
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2322110

Creekside Premier Medical Group · Spring, TX
Active · expires Apr 14, 2027
CLIA Number45D2322110
Laboratory TypeIndependent
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorSydney Myrick
Laboratory Phone(281) 410-4767
Laboratory LocationCreekside Premier Medical Group2255 East Mossy Oaks Rd, Suite 500B, Spring, TX 77389
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2322103

Creekside Premier Medical Group · Spring, TX
Active · expires Apr 14, 2027
CLIA Number45D2322103
Laboratory TypeIndependent
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorToni L. Patton
Laboratory Phone(281) 440-5300
Laboratory LocationCreekside Premier Medical Group3466 Discovery Creek Blvd # 500B, Spring, TX 77386
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2322107

Creekside Premier Medical Group · Tomball, TX
Active · expires Apr 14, 2027
CLIA Number45D2322107
Laboratory TypeIndependent
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorToni L. Patton
Laboratory Phone(281) 440-5300
Laboratory LocationCreekside Premier Medical Group24727 Tomball Pkwy, Suite 120B, Tomball, TX 77375
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creekside Premier Medical Group PLLC's NPI number?

The NPI number for Creekside Premier Medical Group PLLC is 1487217006. It was assigned to this organization in the NPPES registry on April 18, 2019.

Where is Creekside Premier Medical Group PLLC located?

Creekside Premier Medical Group PLLC is located at 26940 Kuykendahl Rd Ste 200B, Tomball, TX 77375. The listed phone number is (346) 522-2550.

What is Creekside Premier Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Creekside Premier Medical Group PLLC hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Creekside Premier Medical Group PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Creekside Premier Medical Group PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Creekside Premier Medical Group PLLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.