DR. KEVIN RILEY (NPI# 1376063123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376063123 |
| Entity Type | Individual |
| Full Name | DR. KEVIN RILEY |
| Credential | DO |
| Practice Address |
5900 Byron Center Ave Sw Wyoming MI 49519-9606 |
| Practice Telephone | 6162527055 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5101023200 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154809705 | Kevin Riley | Non-emergency Medical Transport (VAN) | 4320 Elvira St, Pahrump, NV 89048-0679 | 2018-08-04 |
| 1497870703 | Kevin Paul Riley | Massage Therapist | 147 Palm St, Bangor, ME 04401-4021 | 2007-03-20 |
| 1023674553 | Kevin Riley | Student in an Organized Health Care Education/Training Program | 6355 Walker Ln Ste 512, Alexandria, VA 22310-3251 | 2019-05-09 |
| 1285117598 | Kevin Constantine Riley | Nurse Practitioner | 650 Ashford St, Brooklyn, NY 11207 | 2018-09-12 |
| 1629524343 | Kevin Riley | Nurse Practitioner | 321 North Warren Street, Trenton, NJ 08618 | 2016-09-01 |
| 1235535014 | Kevin Riley | Pharmacist | 2038 Us Highway 98 W, Santa Rosa Beach, FL 32459-5322 | 2014-11-06 |
| 1114166071 | Kevin R. Riley | Pharmacist | 175 Great Oaks Trl, Wadsworth, OH 44281-8712 | 2009-02-16 |
| 1427233436 | Kevin Young Riley | Social Worker | 420 3rd Ave Sw, Albany, OR 97321-2261 | 2008-01-09 |
| 1841474780 | Kevin Riley | Psychologist | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2007-12-27 |
| Street Address |
5900 BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-9606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484869 | Anita Irene Charochak | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2005-06-02 |
| 1912504283 | Jacalyn Kaiser | Occupational Therapist | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-10-08 |
| 1659987196 | David Paul Mandziara | Specialist/Technologist, Other | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-09-21 |
| 1265048847 | Bella Baazov | Occupational Therapist | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-09-19 |
| 1548889504 | Maurice Anthony Marshall | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-10 |
| 1619596814 | Tyler Ledy | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2020-04-09 |
| 1427677475 | James Darin Chessrown | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-09 |
| 1285263533 | Matthew Michael Gibbs | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1427687755 | Molly Magen | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1316576804 | Lindsay Grace Schichtel | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720425788 | David Martin Cameron | Internal Medicine | 6105 Wilson Ave Sw Ste 101, Wyoming, MI 49418-9714 | 2013-05-31 |
| 1497072243 | Ammar Zahid Hassan | Internal Medicine | 2093 Health Dr Sw Ste 302, Wyoming, MI 49519 | 2010-05-03 |
| 1720097231 | David C Tabor | Internal Medicine | 2093 Health Dr, Suite 201, Wyoming, MI 49519 | 2006-08-05 |
| 1164443578 | Tandy Champion | Internal Medicine | 4166 56th St Sw, Wyoming, MI 49418-9352 | 2006-07-21 |
| 1790749042 | Michael C Mccully | Internal Medicine | 2093 Health Drive Sw, Suite 302, Wyoming, MI 49519 | 2006-04-13 |
| 1487617684 | Fariba Modares | Internal Medicine | 389 Wyoming Ave, Wyoming, PA 18644-1821 | 2006-04-10 |
| 1275537011 | Thomas V Bilisko | Internal Medicine | 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519-9691 | 2005-06-09 |
| 1427052265 | David R. Heyboer | Internal Medicine | 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 | 2005-06-09 |
| 1760484869 | Anita Irene Charochak | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2005-06-02 |
| 1972098614 | Jeffrey Ray Williams | Internal Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519 | 2018-06-26 |
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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.