MRS. MISTY D. RILEY


Address: 3800 S National Ave, Springfield, MO 65807-5209
Phone: 4178753000

MRS. MISTY D. RILEY (NPI# 1235371394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235371394
Entity Type Individual
Full Name MRS. MISTY D. RILEY
Other Name MS. MISTY D. GEORGE
Credential PA
Practice Address 3800 S National Ave
Springfield
MO 65807-5209
Mailing Address Po Box 9007
Springfield
MO 65808-9007
Practice Telephone 4178753000
Mailing Telephone 4178753000
Enumeration Date 2009-04-03
Last Update Date 2018-12-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2009004291 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO ANTHEM 611349 01
MO 1235371394 05
MO 220024360 05

Other Providers MISTY RILEY

NPI Name Taxonomy Address Enumeration
1083125801 Misty Anna Riley Case Manager/Care Coordinator 2052 Princeton Rd, Hamilton, OH 45011-4746 2017-10-19

Office Location

Street Address 3800 S NATIONAL AVE
City SPRINGFIELD
State MO
Zip Code 65807-5209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689665218 Laura Catherine Ross Specialist/Technologist 3800 S National Ave, Suite 160, Springfield, MO 65807-5209 2005-11-02
1518501220 Mary Artina Hutton Registered Nurse 3800 S National Ave, Springfield, MO 65807-5209 2019-11-05
1912561135 Emily Lowry Physician Assistant 3800 S National Ave, Springfield, MO 65807-5209 2019-04-23
1588149553 Emily A Ghazarian Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2018-09-26
1669966081 Marie Alexander Muia Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2018-06-19
1871085233 Rachel Frances Wallis Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2018-06-01
1285151092 Jason Dale Romine Nurse Practitioner 3800 S National Ave, Springfield, MO 65807 2017-08-23
1831643428 Regional Services Pediatrics 3800 S National Ave, Suite 730, Springfield, MO 65807-5209 2016-08-11
1669926770 Tia Phillips Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2016-08-05
1285016584 Cassandra Lawrence Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2015-06-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1598250961 Kathryn Barber Nurse Practitioner 3800 S National Ave Ste 700, Springfield, MO 65807 2018-06-27
1447764899 Missouri Midwifery Service Clinic/Center 3840 South Avenue, Springfield, MO 65807 2017-11-21
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1740663335 Sarah E Kirk Physical Therapist 3545 S. National Ave, Springfield, MO 65807 2015-07-01
1750713335 Amanda Ward Nurse Practitioner 2150 W Republic Rd Ste 112, Springfield, MO 65807 2013-08-06
1932531126 Eugenia R Cortez Counselor 2124 Chesterfield Blvd., Springfield, MO 65807 2013-07-30
1962742866 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3045 W Republic St, Springfield, MO 65807 2013-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972123289 Jared Anthony Dias Physician Assistant 52 Devens St, Springfield, MA 01151-2304 2020-04-16
1659990976 Maham Siddiqui Physician Assistant 8632 Hillside Manor Dr, Springfield, VA 22152-2238 2020-04-16
1558994772 Kayla Rice Physician Assistant 3640 Main St Ste 103, Springfield, MA 01107-1139 2020-02-17
1487286563 Michayla Marcil Physician Assistant 280 Chestnut St Fl 2, Springfield, MA 01199-1001 2020-02-06
1508416140 Chase Michael Collings Physician Assistant 960 N 16th St Ste 303, Springfield, OR 97477 2019-09-16
1023670593 Michael Peter Lembotesis Physician Assistant 629 Evans Rd, Springfield, PA 19064-3033 2019-07-03
1245795558 Alexandra Marie Cutler Physician Assistant 1437 S Gelven Ave, Springfield, MO 65804-2124 2019-01-31
1598265894 Kelsey L. Magill Physician Assistant 3231 S National Ave Ste 440, Springfield, MO 65807-7304 2018-02-14
1447759592 Darrell Dewain Edwards Physician Assistant 4350 S National Ave Ste C200, Springfield, MO 65810-2782 2018-02-05
1164930087 Ashley Jean Nichole Leutze Physician Assistant 1164 E Home Rd Ste J, Springfield, OH 45503-2726 2018-01-12
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 65807

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Dataset Information

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.

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