DR. MICHAEL DAVID RILEY (NPI# 1912909797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912909797 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID RILEY |
| Credential | D.O. |
| Practice Address |
13644 Walsingham Rd Largo FL 33774-3532 |
| Practice Telephone | 7275963441 |
| Practice Fax Number | 7275963441 |
| Mailing Telephone | 7275963441 |
| Mailing Fax Number | 7275963441 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
OS2943 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684030 | Michael Colin Riley | Student in an Organized Health Care Education/Training Program | 102 Parsons Rd, Camillus, NY 13031-2125 | 2020-09-21 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1215389150 | Michael Riley | Technician, Other | 26534 Avondale St, Inkster, MI 48141-1924 | 2016-07-03 |
| 1386899854 | Michael Wayne Riley | Occupational Therapist | 11 Turkey Trl, Warne, NC 28909-7718 | 2008-11-24 |
| 1306093174 | Michael Meriwether Riley | Physician Assistant | 11817 East Telegraph Rd, Santa Fe Springs, CA 90670 | 2008-08-25 |
| 1851566020 | Michael Ben Andrew Riley | Physician Assistant | 8215 Lichen Ln, Spring, TX 77379-4517 | 2008-04-28 |
| 1245376904 | Michael F Riley | Physician Assistant | 25701 I-45 North, Suite # 5, Woodlands, TX 77380 | 2007-01-29 |
| 1700998721 | Michael David Riley | Chiropractor | 4400 College Blvd Ste 150, Overland Park, KS 66211-2326 | 2006-08-31 |
| 1235183179 | Michael James Riley | Chiropractor | 604 E Musser Street, Carson City, NV 89701 | 2006-05-22 |
| 1063903920 | Michael R Riley | Specialist/Technologist, Other | 13 Stoneledge Dr Apt 11, Troy, NY 12182-3519 | 2018-05-25 |
| Street Address |
13644 WALSINGHAM RD |
| City | LARGO |
| State | FL |
| Zip Code | 33774-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053746479 | Brenton Daniel Mccoy | Internal Medicine | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2013-09-04 |
| 1578826954 | Peggy Ann Cordle | Internal Medicine | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2012-06-20 |
| 1508175530 | Leo Choe | Internal Medicine | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2010-09-24 |
| 1508008772 | Lisa R. Luckey | Internal Medicine | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2009-04-02 |
| 1811182975 | Suncoast Internal Medicine Consultants | Internal Medicine | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2007-09-12 |
| 1902091069 | Suncoast Internal Medicine Consultants | Internal Medicine | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2007-09-12 |
| 1013057090 | Suncoast Internal Medicine Consultants | Clinical Medical Laboratory | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2007-02-07 |
| 1992794986 | Dane Maxfield | Internal Medicine | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2005-10-21 |
| 1770572778 | Robert Digiovanni | Internal Medicine | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2005-10-21 |
| 1023007028 | Randal G Worth | Internal Medicine | 13644 Walsingham Rd, Largo, FL 33774-3532 | 2005-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1205362183 | Clifton Bridges | Otolaryngology | 6970 Sunnyside Dr, Leesburg, FL 34748-9556 | 2017-05-11 |
| 1811305568 | Medney Tardy Jr. | Otolaryngology | 651 Jacana Cir, Naples, FL 34105-7400 | 2014-07-25 |
| 1699113605 | Lebeau Clinic Pl | Otolaryngology | 1020 N Palafox St, Pensacola, FL 32501-3118 | 2013-06-12 |
| 1164867644 | Joseph Samuel Moak IIi | Otolaryngology | 1819 Salk Ave, Tavares, FL 32778-4311 | 2013-05-09 |
| 1750661328 | Jesse Andrew Burnam | Otolaryngology | 15647 Carriedale Ln, Fort Myers, FL 33912-3904 | 2011-08-26 |
| 1619276102 | Thomas Lewis Tzikas | Otolaryngology | 526 Se 5th Ave, Delray Beach, FL 33483-5213 | 2011-03-23 |
| 1356595268 | Vijay M Sharma | Otolaryngology | 601 University Blvd Ste 201, Jupiter, FL 33458-2788 | 2008-11-05 |
| 1881846731 | Anthony Bared | Otolaryngology | 6280 Sunset Dr Ste 504, South Miami, FL 33143-4870 | 2008-10-22 |
| 1700034345 | Larry Nelson Smith | Otolaryngology | 10925 Sw 27th Ave, Gainesville, FL 32608-8937 | 2008-09-08 |
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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.