Frederick R Riley (NPI# 1457572570, PAC ID# 9739228834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1457572570 |
| PAC ID by PECOS | 9739228834 |
| Professional Enrollment ID | I20091203000087 |
| Full Name | Frederick R Riley |
| Address |
873 W Baxter Dr South Jordan UT 84095-8506 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 873 W Baxter Dr, South Jordan, UT 84095-8506 |
| Street Address |
873 W BAXTER DR |
| City | SOUTH JORDAN |
| State | UT |
| Zip | 84095-8506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Sonnenberg | Orthopedic Surgery | 10623 S Redwood Rd, Suite 101, South Jordan, UT 84095-2481 | |
| Richard C Vinson | Physical Therapy | 10543 S 2330, South Jordan, UT 84095-2609 | |
| Vilate Thur | Nurse Practitioner | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Kevin Cottle | Nurse Practitioner | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Christine D Roach | Physician Assistant | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Curtis Andrews | Internal Medicine | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Kathy S Garcia | Pediatric Medicine | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Megan Gygi | Physician Assistant | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Justin J Peck | Physician Assistant | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Jared B Hains | Physician Assistant | Copperview Medical Center, LLC | 3556 W 9800, Suite 101, South Jordan, UT 84095-3221 |
| Find all physicians in zip 84095 | |||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SOUTH JORDAN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Frederick R Riley.
| 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.