JOHN FRANCIS REILLY JR. (NPI# 1689614133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689614133 |
| Entity Type | Individual |
| Full Name | JOHN FRANCIS REILLY JR. |
| Credential | M.D. |
| Practice Address |
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 |
| Practice Telephone | 3862316000 |
| Practice Fax Number | 3177055047 |
| Mailing Telephone | 3862316000 |
| Mailing Fax Number | 3177055047 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME143257 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
9400615 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SELECT HEALTH | 80067958 | 01 |
| SC | SELECT HEALTH MEDICAID LINE | 30246444 | 01 |
| SC | RR MEDICARE | P01604823 | 01 |
| SC | UNITED | 1220039 | 01 |
| NC | 8971181 | 05 | |
| SC | AETNA | 5074302 | 01 |
| SC | CIGNA | 5290539 | 01 |
| SC | Q0061W | 05 | |
| FL | WELLCARE | 1205888 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659761476 | John Reilly IIi | Psychologist | 31 Kennedy Road Anx, Weaverville, NC 28787-9395 | 2015-02-01 |
| 1861770406 | John T Reilly | Physician Assistant | 8 Brander Parkway, Shelter Island, NY 11964-1980 | 2011-08-01 |
| 1689884322 | John F Reilly | Social Worker | 16 Spaulding Rd, Chelmsford, MA 01824-1022 | 2007-05-23 |
| 1700900891 | John Allen Reilly | Internal Medicine | 16722 Annandale Rd Ste D-1, Emmitsburg, MD 21727 | 2007-03-16 |
| 1417032954 | John Wesley Reilly | Psychologist | 12636 Se Stark, Portland, OR 97233 | 2006-10-25 |
| 1578661419 | John Reilly | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2006-09-21 |
| 1497850481 | John Francis Reilly Jr. | Internal Medicine | 53 Briar Hill Rd, Orchard Park, NY 14127-3546 | 2006-09-14 |
| 1659487080 | John Jennings Reilly | Dentist | 640 Bankview Dr, Suite #3, Frankfort, IL 60423-1383 | 2006-08-21 |
| 1932113941 | John Reilly | Physical Therapist | 121 Nantasket Ave, Suite 105, Hull, MA 02045-3106 | 2006-07-27 |
| 1124061510 | John Richard Reilly | Emergency Medicine | 4200 Wisconsin Ave Nw, #223, Washington, DC 20016-2143 | 2006-06-14 |
| Street Address |
301 MEMORIAL MEDICAL PKWY |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588788 | Kathleen Ann Williams | Internal Medicine | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2005-12-14 |
| 1790385029 | James Edward Collie | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-10-27 |
| 1568077501 | Christian H Schadt | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-09-15 |
| 1982220620 | Olatoun Okediji | Social Worker | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-06-18 |
| 1962038554 | Maria Clea Dulay | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1659907244 | Lisa Wisniewski | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1386287506 | Kristin Warner | Registered Nurse | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-21 |
| 1841832797 | Morgan Nicole Miles | Hospitalist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-11 |
| 1508329780 | Samantha Snowden | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-13 |
| 1114489812 | Lindsay Schneider | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972510493 | Johnny R. Bernard Jr. | Radiology | 211 E International Speedway Blvd Ste 108, Daytona Beach, FL 32118 | 2006-08-01 |
| 1386646461 | Michael Pirkowski | Radiology | 1620 Mason Ave, Suite E, Daytona Beach, FL 32117-7802 | 2005-08-10 |
| 1093824930 | Charles David Hechtman | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-30 |
| 1962438531 | Brad Anthony Factor | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-06-24 |
| 1417908658 | Halifax Healthcare Systems Inc | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-05-12 |
| 1457300014 | Florida Oncology Network Pa | Radiology | 224 Memorial Medical Pkwy, Daytona Beach, FL 32117-5122 | 2006-05-09 |
| 1538122288 | Joyce Ann Battle | Radiology | 303 N Clyde Morris Blvd, Radiation Oncology Dept, Daytona Beach, FL 32114-2709 | 2006-04-11 |
| 1003879099 | Radiation Oncology Associates of Central Florida,pa | Radiology | 303 N Clyde Morris Blvd, Roc Ground Floor, Daytona Beach, FL 32114-2709 | 2006-04-10 |
| 1700887890 | Ronald Joseph Krochak | Radiology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.