Organization Active NPI

Michael K Riley M D P a

  • Specialist
  • Ocala, FL
National Provider Identifier
1093742959
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0068193 Issued in FL
Legal business name
MICHAEL K RILEY M D P A
Practice address
3304 SW 34TH Cir
Suite 104
Ocala, FL 34474-3358
Phone
(352) 369-0080
Fax
(352) 547-2360
NPI assigned
Jun 27, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donnie Miller
Title
Office Manager
Phone
(352) 369-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0068193 FL Primary

Addresses

Primary practice location

3304 SW 34TH Cir
Suite 104
Ocala, FL 34474-3358

Mailing address

3304 SW 34TH Cir
Suite 104
Ocala, FL 34474-3358
Phone (352) 369-0080

Other identifiers 1

IdentifierTypeStateIssuer
254551900MedicaidFL

National Provider Directory

National Provider Directory

Locations

3304 SW 34th Cir
Ste 104
Ocala, FL 34474
Phone (352) 369-0080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1093742959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 SW 34TH CIR",
            "address_2": "SUITE 104",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743358",
            "telephone_number": "352-369-0080",
            "fax_number": "352-547-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 SW 34TH CIR",
            "address_2": "SUITE 104",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743358",
            "telephone_number": "352-369-0080",
            "fax_number": "352-547-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K RILEY M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-369-0080"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0068193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254551900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.