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CREEKSIDE FAMILY MEDICINE, LLC
NPI 1558610063
Clinic/Center - Health Service in Appleton, WI

Active since August 30, 2012
3608 N BRACKEN DR, APPLETON, WI 54911(330) 466-4431 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creekside Family Medicine, Llc NPPES

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

CREEKSIDE FAMILY MEDICINE, LLC (NPI 1558610063) is a healthcare organization registered as a health service in Appleton, Wisconsin and active in the NPI registry since August 2012. The organization lists Samuel J Heiks, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1558610063
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCREEKSIDE FAMILY MEDICINE, LLC
Location Address3608 N BRACKEN DRAppleton, WI 54911-8504
Mailing Address3608 N Bracken DrAppleton, WI 54911-8504 · (330) 466-4431
Phone(330) 466-4431
Organization SubpartNo
Authorized OfficialSamuel J HeiksSole Member · (330) 466-4431
Enumeration DateAugust 30, 2012
Last NPPES UpdateOctober 21, 2014
✔ NPI 1558610063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in OH · 35097870
3608 N BRACKEN DR, Appleton, WI 54911
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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 Family Medicine, LLC's NPI number?

The NPI number for Creekside Family Medicine, LLC is 1558610063. It was assigned to this organization in the NPPES registry on August 30, 2012.

Where is Creekside Family Medicine, LLC located?

Creekside Family Medicine, LLC is located at 3608 N Bracken Dr, Appleton, WI 54911. The listed phone number is (330) 466-4431.

What is Creekside Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Creekside Family Medicine, LLC was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.