Jaime Lyn Riley
Individual provider Active NPI Obstetrics & Gynecology Physician · Maumee, OH
NPI 1033678024 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1033678024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 34.018266 (OH)
- Practice address
- 660 Beaver Creek Cir Ste 200
Maumee, OH 43537-1746 - Phone
- (419) 891-6201
- Fax
- (419) 893-1227
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Promedica Central Physicians
Practice addresses (Care Compare)
660 Beaver Creek Cir
Suite 200
Maumee, OH 43537-1746
Phone (419) 891-6201
Hospital & facility affiliations
- Promedica Toledo Hospital
- Physicians Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230816001872 | TN | Practitioner - Obstetrics/Gynecology | 8628305018 | |
| I20260128004015 | OH | Practitioner - Obstetrics/Gynecology | 8628305018 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5092 | TN | MD | Dental Hygienist |
| 34.018266 | OH | MD | Obstetrics & Gynecology Physician |
| DO5092 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current |
Accepting new patients | |
| Knoxville Hma Physician Management, LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Promedica Central Physicians | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
660 Beaver Creek Cir
Ste 200
Maumee, OH 43537
Phone (419) 891-6201
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660
7557B Dannaher Dr
Ste 225
Powell, TN 37849
Phone (865) 647-3450
Interoperability endpoints
- jmyers514054@direct.hfhs.org
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
- jaime.riley.1@4694.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34.018266 | OH | Yes |
| Obstetrics & Gynecology Physician | 207V00000X | DO5092 | TN |
Addresses
Primary practice location
660 Beaver Creek Cir Ste 200
Maumee, OH 43537-1746
Mailing address
7557B Dannaher Dr Ste 225
Powell, TN 37849-3568
Phone (865) 647-3450
Other names
- Jaime Lyn Myers
NPI Registry JSON
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1033678024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7557B DANNAHER DR STE 225",
"city": "POWELL",
"state": "TN",
"postal_code": "378493568",
"telephone_number": "865-647-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 BEAVER CREEK CIR STE 200",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371746",
"telephone_number": "419-891-6201",
"fax_number": "419-893-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JAIME",
"middle_name": "LYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34.018266",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "DO5092",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "MYERS",
"middle_name": "LYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maumee, OH
- Ridgewood Facility Operations, LLC
- Ridgewood Manor LLC
- Tammy Lynn Ridoutt
- Shelby Ann Rieger
- Erin M Riley
- Kimberly Ann Rist
- Brittany Danielle Ritchie
- Rite Aid of Ohio Inc
- Rite Aid Pharmacy
- Robert Morris Enterprises LLC
All providers in Maumee, OH · Obstetrics & Gynecology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.