DR. THOMAS PHILIP REILLY JR. (NPI# 1386605665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386605665 |
| Entity Type | Individual |
| Full Name | DR. THOMAS PHILIP REILLY JR. |
| Credential | M.D. |
| Practice Address |
2401 S 31st St Temple TX 76508-0001 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547242111 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | D5170 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE SHIELD | 86J240 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457522898 | Thomas Henry Reilly Jr. | Dentist | 420 Route 6a, East Sandwich, MA 02537 | 2008-03-13 |
| 1689722878 | Thomas M Reilly | Internal Medicine | 8627 Forest Pkwy, Woodhaven, NY 11421-1143 | 2007-01-06 |
| 1427077965 | Thomas Jude Reilly | Specialist/Technologist | 640 E 22nd St, Fremont, NE 68025-2672 | 2006-07-18 |
| 1568987626 | Thomas Reilly | Physical Therapist | 655 Main St, Walpole, MA 02081-3717 | 2017-08-10 |
| 1326316886 | Thomas Reilly | Counselor | 30 Hazel Terrace, Suite 11, Woodbridge, CT 06525-2209 | 2011-12-12 |
| 1922274174 | Thomas Joseph Reilly Jr. | Radiology | 2501 Kuser Rd, Hamilton, NJ 08691-3386 | 2008-05-07 |
| 1750574299 | Thomas Reilly | Physical Medicine & Rehabilitation | 10875 Park Blvd Ste C, Seminole, FL 33772-5456 | 2007-08-18 |
| 1215092416 | Thomas A Reilly | Internal Medicine | 850 Margaret Pl, Shreveport, LA 71101-4521 | 2006-12-27 |
| 1447334586 | Thomas Stone Reilly Jr. | Dentist | 3535 Roswell Rd, Suite 3, Marietta, GA 30062-8826 | 2006-10-25 |
| 1508950759 | Thomas J Reilly Jr. | Orthopaedic Surgery | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2006-10-03 |
| Street Address |
2401 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
| 1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
| 1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
| 1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
| 1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
| 1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497733984 | Lester P Wang | Urology | 1901 Veterans Memorial Dr # 112, Temple, TX 76504-7451 | 2006-01-04 |
| 1104274174 | Jacob Carl Smith | Urology | 2401 S 31st St, Temple, TX 76508-0001 | 2016-05-31 |
| 1962839399 | Kim Huynh Thai | Urology | 2401 S 31st St, Temple, TX 76508-3011 | 2013-09-30 |
| 1619239274 | Marawan El Tayeb | Urology | 2401 S 31st St, Temple, TX 76508-1239 | 2012-06-11 |
| 1629338330 | Hoang Kim Thi Le | Urology | 2401 S 31st St, Temple, TX 76508-0001 | 2012-05-29 |
| 1629168778 | Stephanie Elizabeth Harris | Urology | 2401 S 31st St, Temple, TX 76508 | 2006-10-12 |
| 1437262417 | Richard Clement Klugo | Urology | 1901 S 1st St, Temple, TX 76504-7451 | 2006-08-16 |
| 1104832096 | Parikshit P Pandya | Urology | 1901 S 1st St, Temple, TX 76504-7451 | 2006-07-31 |
| 1548275399 | John C Wurster | Urology | 1901 S 1st St, Temple, TX 76504-7451 | 2006-07-30 |
| 1174562714 | Kristofer Ross Wagner | Urology | 2401 S 31st St, Temple, TX 76508-0001 | 2006-06-06 |
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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.