Edward R Riley (NPI# 1255379350, PAC ID# 1658337449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1255379350 |
| PAC ID by PECOS | 1658337449 |
| Professional Enrollment ID | I20041203000271 |
| Full Name | Edward R Riley |
| Organization Legal Name | SOUTH SUNFLOWER COUNTY HOSPITAL |
| Address |
121 E Baker St Indianola MS 38751-2450 |
| Phone Number | 6628875235510 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6709771637 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250095 | SOUTH SUNFLOWER COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 121 E Baker St, Indianola, MS 38751-2450 | 6628875235510 | SOUTH SUNFLOWER COUNTY HOSPITAL |
| Organization Legal Name | SOUTH SUNFLOWER COUNTY HOSPITAL |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah M Ray | Family Medicine | South Sunflower County Hospital | 122 E Baker St, Indianola, MS 38751-2451 |
| Elizabeth Baird Dawson | Nurse Practitioner | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| James A Ray | Nurse Practitioner | South Sunflower County Hospital | 110 E Baker St, Indianola, MS 38751-2451 |
| David K Dunigan | Diagnostic Radiology | South Sunflower County Hospital | 121 Baker St, Indianola, MS 38751-0189 |
| Lee T Skelton | Certified Registered Nurse Anesthetist (crna) | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Bobby Lee Paxton | Nurse Practitioner | South Sunflower County Hospital | 122 E Baker St, Indianola, MS 38751-2451 |
| Kristen Smith | Nurse Practitioner | South Sunflower County Hospital | 122 E Baker St, Indianola, MS 38751-2451 |
| Erik Lessmann | Family Medicine | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Mary E Mcneer | Nurse Practitioner | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Terry Dorsey | Nurse Practitioner | South Sunflower County Hospital | 110 E Baker St, Indianola, MS 38751-2451 |
| Street Address |
121 E BAKER ST |
| City | INDIANOLA |
| State | MS |
| Zip | 38751-2450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Baird Dawson | Nurse Practitioner | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Lee T Skelton | Certified Registered Nurse Anesthetist (crna) | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Erik Lessmann | Family Medicine | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Mary E Mcneer | Nurse Practitioner | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Edgar Newton Donahoe Jr. | Family Medicine | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| William Wade Dowell | Cardiovascular Disease (cardiology) | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Harvie D Harrier | Emergency Medicine | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Andrea A Moman | Emergency Medicine | South Sunflower County Hospital | 121 E Baker St, Indianola, MS 38751-2450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Byrdwell Romine Iii | Certified Registered Nurse Anesthetist | South Sunflower County Hospital | 121 Baker St, Indianola, MS 38751 |
| David K Dunigan | Diagnostic Radiology | South Sunflower County Hospital | 121 Baker St, Indianola, MS 38751-0189 |
| Katherine F Patterson | Family Medicine | South Sunflower County Hospital | 121 Baker St, Indianola, MS 38751-0189 |
| Charles Strange | Nurse Practitioner | Fast Pace Mississippi Pllc | 616 Hwy 82 W, Indianola, MS 38751-2080 |
| Rona Kaye Huey | Nurse Practitioner | 310 Hwy 82 W, Suite D, Indianola, MS 38751-2150 | |
| Alyssa L Simmons | Nurse Practitioner | Delta Health Center, Inc. | 102 S Martin Luther King Jr Dr, Indianola, MS 38751-2366 |
| Matthew Barnes Bellipanni | Optometry | 104 S Martin Luther King Jr Dr, Indianola, MS 38751-2366 | |
| Michael Gregor Morris | Obstetrics/gynecology | Delta Health Center, Inc. | 102 S Martin Luther King Jr Dr, Indianola, MS 38751-2366 |
| William B Ellis Sr. | Optometry | 415 Catchings Ave, Indianola, MS 38751-2411 | |
| Hannah M Ray | Family Medicine | South Sunflower County Hospital | 122 E Baker St, Indianola, MS 38751-2451 |
| Find all physicians in zip 38751 | |||
| City | INDIANOLA |
| Zip Code | 38751 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | INDIANOLA + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.