Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ron E Creque Jr., MD

Individual provider Family Medicine Physician · NPI 1194717397

Dr. Ron E Creque Jr., MD is a Family Practice in Shelbyville, Kentucky. Graduated from University of Louisville School of Medicine in 1998, 28 years ago. Practices with Stonecrest Family Medicine PLLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
28
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Stonecrest Rd Ste 3
Shelbyville, KY 40065
Phone: (502) 633-5565
Fax: (502) 633-5154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36516 (KY)

Record details

NPI number1194717397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESJuly 8, 2007
Mailing address101 Stonecrest Road, Suite 3, Shelbyville, KY 40065

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Stonecrest Family Medicine Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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