Creekside Medical LLC
NPI 1487167052 · Electrodiagnostic Medicine Physician · Cheyenne, WY
Creekside Medical LLC is a Electrodiagnostic Medicine Physician organization in Cheyenne, WY (NPI 1487167052).
Provider details
- NPI number
- 1487167052
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Wavra, Managing Member(425) 890-6239
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-11-06
- Last updated
- 2018-09-20
Frequently asked questions
- What is Creekside Medical LLC's NPI number?
- Creekside Medical LLC's National Provider Identifier (NPI) is 1487167052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creekside Medical LLC?
- Creekside Medical LLC is classified in the NPPES registry as Electrodiagnostic Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Creekside Medical LLC located?
- Creekside Medical LLC's practice location on file with NPPES is 1910 Thomes Ave, Cheyenne, WY 82001-3527.
- What is Creekside Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Creekside Medical LLC is (425) 890-6239.
- Who is the authorized official for Creekside Medical LLC?
- The authorized official listed on Creekside Medical LLC's NPPES record is Matthew Wavra, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creekside Medical LLC's NPI active?
- Yes — Creekside Medical LLC's NPI (1487167052) is active in the NPPES registry as of the last update on 2018-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.