ROBERT J REILLY (NPI# 1821037995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821037995 |
| Entity Type | Individual |
| Full Name | ROBERT J REILLY |
| Credential | M.D. |
| Practice Address |
505 E Main St Salisbury MD 21804-5020 |
| Practice Telephone | 4103413420 |
| Practice Fax Number | 4103413397 |
| Mailing Telephone | 4103413420 |
| Mailing Fax Number | 4103413397 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D24986 | MD | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | D24986 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DEA | AR391462 | 01 |
| MD | 765991100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487002192 | Robert William Reilly | Student in an Organized Health Care Education/Training Program | 344 Prospect Street, East Orange, NJ 07017 | 2016-06-03 |
| 1669589602 | Robert Kevin Reilly | Dentist | 401 Second Street, Manawa, WI 54949 | 2006-08-24 |
| 1336116334 | Robert N Reilly | Family Medicine | 3620 N Everbrook Ln, Suite C, Muncie, IN 47304-5200 | 2006-03-08 |
| 1053781484 | Robert Reilly | Counselor | 90 W Main St, Freehold, NJ 07728-2144 | 2015-09-28 |
| 1780910695 | Robert Mathew Reilly | Registered Nurse | 5 Alexander Dr, East Islip, NY 11730-3701 | 2009-10-27 |
| 1437282662 | Robert E. Reilly | Licensed Psychiatric Technician | 1911 Williams Dr, 110, Oxnard, CA 93036-2612 | 2007-03-14 |
| 1124178819 | Robert E Reilly | Internal Medicine | 1203 Langhorne Newtown Rd, Suite 135, Langhorne, PA 19047-1209 | 2007-01-12 |
| 1821180498 | Robert Douglas Reilly | Nurse Anesthetist, Certified Registered | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-09-29 |
| 1730103037 | Robert Franklin Reilly Jr. | Internal Medicine | 4500 S Lancaster Rd, 111g1, Dallas, TX 75216-7167 | 2006-07-27 |
| 1629092580 | Robert James Reilly | Physician Assistant | 2707 L St, Suite 1, Ord, NE 68862-1275 | 2006-07-26 |
| Street Address |
505 E MAIN ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336704584 | Labake G Ogunnupe | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2019-05-02 |
| 1538683479 | Kristin Kelly | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2017-08-02 |
| 1528599677 | Lower Shore Pharmacy | Pharmacy | 505 E Main St, Salisbury, MD 21804-5020 | 2017-03-21 |
| 1629515812 | Kristine Hickman | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2017-01-25 |
| 1316329378 | Karly Peterson | Physician Assistant | 505 E Main St, Salisbury, MD 21804-5020 | 2015-06-25 |
| 1699180307 | Andrew Karten | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2014-06-23 |
| 1164773248 | Jeannette Kathleen Buchanan | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2012-09-28 |
| 1356608137 | Kristine R Garlitz | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2012-04-18 |
| 1780950725 | Lower Shore Clinic, Inc | Clinic/Center | 505 E Main St, Salisbury, MD 21804-5020 | 2012-03-23 |
| 1578831087 | Susan Lee Gray | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2011-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1841839453 | Cabarrus Rowan Community Health Center, Inc | Family Medicine | 226 N Long St, Salisbury, NC 28144-5049 | 2019-12-30 |
| 1952812794 | Atlantic Recovery, LLC | Family Medicine | 547 Riverside Dr Unit S, Salisbury, MD 21801-5369 | 2017-10-19 |
| 1477063386 | Corelife of Delmarva LLC | Family Medicine | 200 E Vine St Ste B, Salisbury, MD 21804-5531 | 2017-10-05 |
| 1336481951 | Charlotte A. Watts | Family Medicine | 231 Middle Blvd, Salisbury, MD 21801-6213 | 2013-03-21 |
| 1538448808 | Shu-chai Willy Lin | Family Medicine | 1402 Home Pl, Salisbury, MD 21804-9302 | 2011-08-04 |
| 1932498227 | Medical Alliance Group, Inc | Family Medicine | 206 Churchill Dr, Salisbury, NC 28144-8307 | 2011-04-07 |
| 1609180926 | Genesis Eldercare Physician Services LLC | Family Medicine | 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 | 2010-07-28 |
| 1659514271 | Hilda Imelio Houlihan | Family Medicine | 1318 Toadvine Rd, Salisbury, MD 21804-9245 | 2009-04-13 |
| Find all providers in SALISBURY | ||||
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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.