DAVID A RILEY (NPI# 1649245838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649245838 |
| Entity Type | Individual |
| Full Name | DAVID A RILEY |
| Credential | M.D. |
| Practice Address |
1300 Anne St Nw Bemidji MN 56601-5103 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-2484 |
| Practice Telephone | 2183335000 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 59006 | MN | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | MD00030575 | WA | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD00030575 | WA | Allopathic & Osteopathic Physicians |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
MD00030575 | WA | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD00030575 | WA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD00030575 | WA | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD00030575 | WA | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD00030575 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE MEDICAL LICENSE | MD00030575 | 01 |
| WA | STATE LABOR & INDUSTRIES | 122444 | 01 |
| WA | 8227415 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376107680 | David Colton Riley | Student in an Organized Health Care Education/Training Program | 1161 21st St Avenue South Ccc-4322aa Mcn, Nashville, TN 37232-0001 | 2019-04-23 |
| 1881042232 | David Riley | Internal Medicine | 1240 Lee St Box Number 800716, Charlottesville, VA 22908-4923 | 2016-05-26 |
| 1952505182 | David Steven Riley | Internal Medicine | 6 Amigos Ln, Santa Fe, NM 87508-4584 | 2007-06-12 |
| 1518176270 | David Riley | Acupuncturist | 4711 4th St, La Mesa, CA 91941-5316 | 2007-05-21 |
| 1457476483 | David Ware Riley | Dentist | 1052 Village Hwy, Rustburg, VA 24588 | 2007-03-20 |
| 1508925421 | David Allen Riley | Psychologist | 59 Ave At The Common Suite 206, Crossroads Psychological Associates, Shrewsbury, NJ 07702 | 2006-12-06 |
| 1568481976 | David E Riley | Psychiatry & Neurology | 4829 Galaxy Pkwy, Warrensville Heights, OH 44128-5900 | 2006-07-18 |
| 1306899497 | David Mark Riley | Family Medicine | 8708 W 135th, Overland Park, KS 66221 | 2006-05-18 |
| 1073169660 | David Riley | Social Worker | 1824 Madison Ave Fl 2, New York, NY 10035-3832 | 2019-08-10 |
| 1548826639 | David Brandon Riley | Physician Assistant | 145 Hospital Ave Ste 311, Du Bois, PA 15801-1465 | 2019-05-14 |
| Street Address |
1300 ANNE ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922090901 | Marvin R Fetter | Orthopaedic Surgery | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2005-08-17 |
| 1679129555 | Ashley Marie Wavrin | Nurse Practitioner | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2019-08-15 |
| 1649824996 | Angela Halvorson | Nurse Practitioner | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2019-07-25 |
| 1114589348 | Rachel Marie Vesta | Nurse Practitioner | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2019-07-09 |
| 1407419419 | Ethan Axtman | Nurse Practitioner | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2019-04-16 |
| 1053895201 | Jarad Syrstad | Physical Therapist | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-09-23 |
| 1851874416 | Kimberly Miller | Physician Assistant | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-09-10 |
| 1780175752 | Billie Jo Dressing | Registered Nurse | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-05-24 |
| 1386142818 | Andrea May Lucca | Social Worker | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-01-30 |
| 1356859979 | Andrew William Rook | Registered Nurse | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386030542 | Katie Mingo English | Otolaryngology | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2015-04-14 |
| 1336198696 | Robert L Fischer | Otolaryngology | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1740697689 | Katherine Lees | Otolaryngology | 200 First St Nw, Rochester, MN 55905-0001 | 2014-07-11 |
| 1679810709 | Jane-marie Grace Skorina | Otolaryngology | 3308 Irving Ave S, Minneapolis, MN 55408-3320 | 2013-01-09 |
| 1306165972 | Sobia Khaja | Otolaryngology | 516 Delaware St Se Mmc 396, University of Minnesota - Department of Otolaryngology, Minneapolis, MN 55455 | 2010-05-21 |
| 1629208558 | John Burton Young Jr. | Otolaryngology | 2787 Itasca Ave., St. Mary's Pt., MN 55043-0325 | 2009-07-27 |
| 1063675825 | Daniel Scott Schneider | Otolaryngology | 1021 Bandana Blvd West, Saint Paul, MN 55108-5107 | 2008-07-02 |
| 1275707572 | Joshua Yorgason | Otolaryngology | 3366 Oakdale Ave N Ste 150, Robbinsdale, MN 55422-2961 | 2008-04-17 |
| 1558532135 | Norman Thomas Berlinger | Otolaryngology | 320 Manitoba Ave, Wayzata, MN 55391-1614 | 2008-03-21 |
| 1366629461 | Ridgeview Clinics | Otolaryngology | 223 N Carver St, Winthrop, MN 55396 | 2008-01-31 |
| 1598976326 | Oakdale Ear, Nose & Throat Clinic, P.a. | Otolaryngology | 3366 Oakdale Ave North, Suite 150, Robbinsdale, MN 55422 | 2007-05-24 |
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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.