Shanda Lynn Riley (NPI# 1043300270, PAC ID# 5597718163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1043300270 |
| PAC ID by PECOS | 5597718163 |
| Professional Enrollment ID | I20140115000619 |
| Full Name | Shanda Lynn Riley |
| Organization Legal Name | EAST MEYER BLVD EMERGENCY PHYSICIANS LLC |
| Address |
6601 Rockhill Rd Kansas City MO 64131-1118 |
| Phone Number | 8162767000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2961659941 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260193 | ST MARYS MEDICAL CENTER |
| 260027 | RESEARCH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 201 Nw R D Maize Rd, Blue Springs, MO 64014-2513 | 8162285900 | JACKSON EMERGENCY PHYSICIANS LLC |
| 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 8162767000 | EAST MEYER BLVD EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | EAST MEYER BLVD EMERGENCY PHYSICIANS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna M Mahoney | Nurse Practitioner | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Fletcher M Schubert | Nurse Practitioner | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Richard Lee Brown | Internal Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Dinesh Joitabhai Patel | Family Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Deidra L Charles | Emergency Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| David P Strickland | Family Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Elizabeth A Molleker | Nurse Practitioner | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Street Address |
6601 ROCKHILL RD |
| City | KANSAS CITY |
| State | MO |
| Zip | 64131-1118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deanna M Mahoney | Nurse Practitioner | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Fletcher M Schubert | Nurse Practitioner | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Richard Lee Brown | Internal Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Daniel D Schaper | Orthopedic Surgery | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Dinesh Joitabhai Patel | Family Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Jon Robert Humiston | Physician Assistant | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Brian Charles Kindred | Orthopedic Surgery | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Deidra L Charles | Emergency Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Cristina L Graham | Nurse Practitioner | Midwest Trauma Services LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| David P Strickland | Family Medicine | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Parelman | Ophthalmology | Mid America Eye Center Pa | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Taylor Carter | Anesthesiology | Anesthesia Associates of Kansas City PC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| Elizabeth A Molleker | Nurse Practitioner | East Meyer Blvd Emergency Physicians LLC | 6601 Rockhill Rd, Kansas City, MO 64131-1118 |
| William S Rosenberg | Neurosurgery | Research Neuroscience Institute, LLC | 6675 Holmes Rd, Kansas City, MO 64131-1150 |
| Lara S Wilson | Nurse Practitioner | Medical Group of Kansas City LLC | 6675 Holmes Rd, Suite 102, Kansas City, MO 64131-1150 |
| Valerie Lynn Duff | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Ahmed M Saeed | Internal Medicine | Kansas City Gastroenterology and Hepatology Physicians Group LLC | 6675 Holmes Rd, Suite 430, Kansas City, MO 64131-1167 |
| Chris W Craemer | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Radhika Mathur | Internal Medicine | Medical Group of Kansas City LLC | 6675 Holmes Rd, Suite 550, Kansas City, MO 64131-1167 |
| Kavitha K Arabindoo | Family Medicine | Goppert Trinity Family Care LLC | 6675 Holmes Rd, Suite 360, Kansas City, MO 64131-1167 |
| Find all physicians in zip 64131 | |||
| City | KANSAS CITY |
| Zip Code | 64131 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | KANSAS CITY + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.