DR. KENNETH D RILEY (NPI# 1750332805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750332805 |
| Entity Type | Individual |
| Full Name | DR. KENNETH D RILEY |
| Credential | D.O. |
| Practice Address |
50 Montgomery St Canajoharie NY 13317 |
| Mailing Address |
Po Box 725 Cooperstown NY 13326-0725 |
| Practice Telephone | 5186735555 |
| Practice Fax Number | 5186735761 |
| Mailing Telephone | 5186735555 |
| Mailing Fax Number | 5186735761 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 182664 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02073169 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| Street Address |
50 MONTGOMERY ST |
| City | CANAJOHARIE |
| State | NY |
| Zip Code | 13317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578085205 | Stephanie Lynn Voght | Acupuncturist | 126 Seebers Lane, Canajoharie, NY 13317 | 2017-07-14 |
| 1699844779 | Martin Anthony Sorbero | Dentist | 66 Montgomery Street, Canajoharie, NY 13317 | 2006-11-06 |
| 1346500113 | St. Mary's Healthcare | Family Medicine | 48 Erie Blvd, Canajoharie, NY 13317 | 2012-05-25 |
| 1194864470 | Rita Monica O'neill | Nurse Practitioner | 48 Erie Blvd, St. Mary's Hospital, Canajonarie Family Health Center, Canajonarie, NY 13317 | 2007-02-05 |
| 1992782312 | Federico Colores | Emergency Medicine | 101 W Main St, Canajoharie, NY 13317 | 2005-12-28 |
| 1952377871 | Mid-county Volunteer Ambulance Service, Inc. | Ambulance | 11 Erie Blvd, Canajoharie, NY 13317-1107 | 2006-02-28 |
| 1528069572 | Joanne Hirst | Nurse Practitioner | 101 W Main St, St. Mary's Family Health Ctr. At Canajoharie, Canajoharie, NY 13317-1114 | 2005-08-02 |
| 1427100486 | Carol Ann Balfe | Optometrist | 70 Erie Blvd, Canajoharie, NY 13317-1133 | 2007-01-18 |
| 1598767048 | Paul Gerald Comber | Pediatrics | 48 Erie Blvd., Canajoharie Health Center, Canajoharie, NY 13317-1133 | 2005-08-15 |
| 1922007400 | Joseph R. Sinchak | Family Medicine | 48 Erie Blvd, St. Mary's Healthcare, Canajoharie Health Center, Canajoharie, NY 13317-1133 | 2005-07-18 |
| Find all providers in zip 13317 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007400 | Joseph R. Sinchak | Family Medicine | 48 Erie Blvd, St. Mary's Healthcare, Canajoharie Health Center, Canajoharie, NY 13317-1133 | 2005-07-18 |
| 1346500113 | St. Mary's Healthcare | Family Medicine | 48 Erie Blvd, Canajoharie, NY 13317 | 2012-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | CANAJOHARIE |
| Zip Code | 13317 |
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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.