Thaddeus B Riley
IROQUOIS MEDICAL CENTER,PSC.


Address: 5601 S 3rd St, Suite 100, Louisville, KY 40214-2615
Phone: 5023618801

Thaddeus B Riley (NPI# 1144417999, PAC ID# 3971662412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1144417999
PAC ID by PECOS 3971662412
Professional Enrollment ID I20081112000605
Full Name Thaddeus B Riley
Organization Legal Name IROQUOIS MEDICAL CENTER,PSC.
Address 5601 S 3rd St
Suite 100
Louisville
KY 40214-2615
Phone Number 5023618801
Gender M
Graduation Year 2007
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 4587644950
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
180040 JEWISH HOSPITAL & ST MARY'S HEALTHCARE

Other Locations

Address Phone Organization
5601 S 3rd St, Suite 100, Louisville, KY 40214-2615 5023618801 IROQUOIS MEDICAL CENTER,PSC.

Organization Information

Organization Legal Name IROQUOIS MEDICAL CENTER,PSC.
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Stacy R Trinkle Family Medicine Iroquois Medical Center,psc. 5601 S 3rd St, Suite 100, Louisville, KY 40214-2615
Louise M Box Family Medicine Iroquois Medical Center,psc. 5601 S 3rd St, Suite 100, Louisville, KY 40214-2615
Douglas E Mattingly Family Medicine Iroquois Medical Center,psc. 5601 S 3rd St, Suite 100, Louisville, KY 40214-2615

Office Location

Street Address 5601 S 3RD ST
SUITE 100
City LOUISVILLE
State KY
Zip 40214-2615

Physicians in the same location

Name Specialty Organization Address
Stacy R Trinkle Family Medicine Iroquois Medical Center,psc. 5601 S 3rd St, Suite 100, Louisville, KY 40214-2615
Rachel Ditter Christian Nurse Practitioner University of Louisville Physicians, Inc 5601 S 3rd St, Louisville, KY 40214-2615
Louise M Box Family Medicine Iroquois Medical Center,psc. 5601 S 3rd St, Suite 100, Louisville, KY 40214-2615
Douglas E Mattingly Family Medicine Iroquois Medical Center,psc. 5601 S 3rd St, Suite 100, Louisville, KY 40214-2615

Physicians in the same zip code

Name Specialty Organization Address
Theodore Wandzilak Ophthalmology Kentucky Eye Surgery Associates Psc 4940 Hazelwood Ave, Louisville, KY 40214-1270
Rishi Verma Kumar Ophthalmology Kentucky Eye Surgery Associates Psc 4940 Hazelwood Ave, Louisville, KY 40214-1270
Sushil V Kumar Ophthalmology Kentucky Eye Surgery Associates Psc 4940 Hazelwood Ave, Louisville, KY 40214-1270
Guomin Jiang Optometry Kentucky Eye Surgery Associates Psc 4940 Hazelwood Ave, Louisville, KY 40214-1270
Daryl K Potter Podiatry Foot and Ankle Care, Psc 4602 Southern Pkwy, Suite 1b, Louisville, KY 40214-1442
Judy N Outsa Podiatry Foot and Ankle Care, Psc 4602 Southern Pkwy, Suite 1b, Louisville, KY 40214-1442
Valerie J Rash Podiatry Kentucky Podiatry Pllc 4602 Southern Pkwy, 1b, Louisville, KY 40214-1442
Rosenberg A Reyes Family Medicine 320 W Woodlawn Ave, Louisville, KY 40214-1924
Arthi Devaraju Kaundar Family Medicine Family Health Centers, Inc. 4805 Southside Dr, Louisville, KY 40214-2111
Jamie L Martens Nurse Practitioner Family Health Centers, Inc. 4805 Southside Dr, Louisville, KY 40214-2111
Find all physicians in zip 40214

Competitor

Search similar physicians

City LOUISVILLE
Zip Code 40214
Specialty PHYSICIAN ASSISTANT
City + Specialty LOUISVILLE + PHYSICIAN ASSISTANT

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Dataset Information

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.

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