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CREEKSIDE OB/GYN OF FOLSOM MEDICAL CORPORATION
NPI 1659564730
Specialist in Folsom, CA

Active since August 22, 2007
1621 CREEKSIDE DR, 102, FOLSOM, CA 95630(916) 984-7428(916) 984-0157 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creekside Ob/gyn Of Folsom Medical Corporation NPPES

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

CREEKSIDE OB/GYN OF FOLSOM MEDICAL CORPORATION (NPI 1659564730) is a healthcare organization registered as a specialist in Folsom, California and active in the NPI registry since August 2007. The organization lists Timothy Edwin Phelan, Doctor, as its authorized official.

NPPES Registry Identity

NPI1659564730
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTIMOTHY E PHELAN, M.D A PROFESSIONAL MEDICAL CORPORATION
Location Address1621 CREEKSIDE DR, 102Folsom, CA 95630-3493
Mailing Address1621 Creekside Dr, 102Folsom, CA 95630-3493 · (916) 984-7428 · Fax (916) 984-0157
Phone(916) 984-7428
Fax(916) 984-0157
Organization SubpartNo
Authorized OfficialTimothy Edwin PhelanDoctor · (916) 984-7428
Enumeration DateAugust 22, 2007
Last NPPES UpdateMarch 9, 2011
✔ NPI 1659564730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G084901
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1621 CREEKSIDE DR, Folsom, CA 95630
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Other Names 1

Doing Business AsCreekside Ob/gyn Of Folsom Medical Corporation

Other Identifiers 1

Medicare UPING29062CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN RANDOLPH DDS A PROFESSIONAL DENTAL CORPORATION
Dentist
1621 CREEKSIDE DR, SUITE 101
FOLSOM, CA 95630
Sacramento County (916) 984-6747
DR. TIMOTHY EDWIN PHELAN M.D.
Obstetrics & Gynecology
1621 CREEKSIDE DR, 102
FOLSOM, CA 95630
Sacramento County (916) 984-7428

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 Timothy E Phelan, M.D A Professional Medical Corporation's NPI number?

The NPI number for Timothy E Phelan, M.D A Professional Medical Corporation is 1659564730. It was assigned to this organization in the NPPES registry on August 22, 2007. The provider is doing business as Creekside Ob/Gyn Of Folsom Medical Corporation.

Where is Timothy E Phelan, M.D A Professional Medical Corporation located?

Timothy E Phelan, M.D A Professional Medical Corporation is located at 1621 Creekside Dr 102, Folsom, CA 95630. The listed phone number is (916) 984-7428.

What is Timothy E Phelan, M.D A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Timothy E Phelan, M.D A Professional Medical Corporation was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.