JOHN B RILEY (NPI# 1629573662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629573662 |
| Entity Type | Individual |
| Full Name | JOHN B RILEY |
| Credential | DO |
| Practice Address |
15855 19 Mile Rd Clinton Township MI 48038-3504 |
| Practice Telephone | 5862632952 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730398728 | John Madison Riley | Psychiatry & Neurology | 1535 Plumas Ct, Yuba City, CA 95991-2960 | 2007-05-22 |
| 1669524260 | John Wade Riley | Dentist | 10 Roundtree St., Williston, SC 29853-0659 | 2007-01-17 |
| 1134141344 | John M Riley | Family Medicine | 412 W Monroe St, Easton, PA 18042-1717 | 2006-07-24 |
| 1780646026 | John Scott Riley | Audiologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2006-04-03 |
| 1205484037 | John Riley IIi | Case Manager/Care Coordinator | 611 W Market St, Akron, OH 44303-1406 | 2019-08-26 |
| 1962067595 | John Blaine Riley IIi | Anesthesiology | 984150 Nebraska Medical Ctr, Omaha, NE 68198-4150 | 2019-05-09 |
| 1376008250 | John Riley | Physician Assistant | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2019-02-05 |
| 1366948176 | John Samuel Riley | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2018-04-02 |
| 1700394764 | John James Riley | Social Worker | 5757 Wilshire Blvd Ste 635, Los Angeles, CA 90036-3686 | 2018-01-11 |
| 1003240953 | John W. Riley | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2013-08-28 |
| Street Address |
15855 19 MILE RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378301 | Steven Leonowicz II | Family Medicine | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-05-26 |
| 1033739735 | Seth Ramin Ashraf | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-22 |
| 1558990705 | Alan Rupp | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-08 |
| 1538798749 | Nadia Khan | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-08 |
| 1700415643 | Shyamal Pansuriya | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-03 |
| 1598394306 | Archana Chandrashekar | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-03 |
| 1326676503 | Ashish Sripathi Kalakuntla | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-01 |
| 1407484116 | Taylor M Timoteo | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-29 |
| 1639707458 | Philip Soni Chacko | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-28 |
| 1952938938 | Jordynn Baldwin | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564802 | Zaid Khreefa | Student in an Organized Health Care Education/Training Program | 15846 Revere Dr, Clinton Township, MI 48038-1066 | 2020-03-24 |
| 1053975391 | Thomas John Zahari | Student in an Organized Health Care Education/Training Program | 44472 Bayview Ave Apt 15303, Clinton Township, MI 48038-7016 | 2019-04-23 |
| 1033739735 | Seth Ramin Ashraf | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-22 |
| 1558990705 | Alan Rupp | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-08 |
| 1538798749 | Nadia Khan | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-08 |
| 1326676503 | Ashish Sripathi Kalakuntla | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-01 |
| 1407484116 | Taylor M Timoteo | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-29 |
| 1952938938 | Jordynn Baldwin | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-27 |
| 1346877842 | Hye Jeong Han | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-25 |
| 1639706195 | Megan Mary Bergeron | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-25 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
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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.