PHILLIP J. RILEY (NPI# 1043284391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043284391 |
| Entity Type | Individual |
| Full Name | PHILLIP J. RILEY |
| Credential | MD |
| Practice Address |
325 N State of Franklin Rd Third Floor Johnson City TN 37604-6062 |
| Mailing Address |
P.o.box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4234397201 |
| Practice Fax Number | 4234397219 |
| Mailing Telephone | 4234397201 |
| Mailing Fax Number | 4234397219 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | MD653 | TN | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881610723 | Phillip Ray Riley | Counselor | 6017 Reef Point Ln Ste 115, Fort Worth, TX 76135-7005 | 2006-07-14 |
| Street Address |
325 N STATE OF FRANKLIN RD THIRD FLOOR |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477022 | Kent Hjerpe | Specialist | 325 N State of Franklin Rd, First Floor, Johnson City, TN 37604-6056 | 2005-06-14 |
| 1770195950 | Tripti Sharma | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-08-19 |
| 1922617869 | Melanie Natasha Rayan | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-07-27 |
| 1700494754 | Fares Ghanem | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-07-16 |
| 1821606047 | Nizar Obeidat | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-07-14 |
| 1578188603 | Ahmad Samih Al Tamari | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-06-15 |
| 1548883424 | Elizabeth Van Buren | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-05-26 |
| 1881216653 | Andres Rene Diaz | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-05-14 |
| 1912528860 | Eric Bookout | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-05-01 |
| 1619597309 | Sarah Tolliver | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962519124 | Aaron W Perkins Jr. | Podiatrist | 1303 Sunset Drive, Suite 6, Johnson City, TN 37604 | 2006-08-24 |
| 1013407709 | Heather Morgan Johnson | Podiatrist | 809 Lamont St, Johnson City, TN 37604-5453 | 2018-05-17 |
| 1881868214 | Medical Education Assistance Corporation | Podiatrist | 222 E Main St, Johnson City, TN 37604 | 2008-04-16 |
| 1265641674 | Aaron W. Perkins Jr. | Podiatrist | 1303 Sunset Dr, Suite 6, Johnson City, TN 37604-7905 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686696 | Ankle and Foot Centers of Nashville, LLC | Podiatrist | 1909 Mallory Ln Ste 100, Franklin, TN 37067-8230 | 2020-07-16 |
| 1417571498 | Advanced Diagnostic Imaging, PC | Podiatrist | 353 New Shackle Island Rd Ste 120b, Hendersonville, TN 37075-2329 | 2020-06-04 |
| 1154836708 | Advanced Foot Care, LLP | Podiatrist | 705 Cook Dr Ste 200, Athens, TN 37303-3494 | 2017-12-05 |
| 1043725690 | Advanced Foot Care, LLP | Podiatrist | 689 Medical Park Drive, Ste. 102, Lenoir City, TN 37772-5797 | 2017-12-05 |
| 1265941447 | Mendoza Foot & Ankle Center PC | Podiatrist | 3443 Dickerson Pike Ste 500, Nashville, TN 37207-2599 | 2017-09-20 |
| 1174044010 | Kevin Timothy Haag | Podiatrist | 9325 Apison Pike Ste 137, College Dale, TN 37363-3805 | 2017-06-30 |
| 1639526577 | Jared Todd Gremillion | Podiatrist | 240 Medical Park Blvd Ste 1500, Bristol, TN 37620-7353 | 2016-05-20 |
| 1720473820 | James Barksdale | Podiatrist | 1605 S Locust Ave Ste 101, Lawrenceburg, TN 38464-4053 | 2015-04-06 |
| 1780072371 | Special Care Podiatry of Tennessee, LLC | Podiatrist | 6140 E Brainerd Rd, Chattanooga, TN 37421-3910 | 2015-01-05 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.