Active NPI
Christine M Riley, MD
- Obstetrics & Gynecology Physician
- Evansville, IN
National Provider Identifier
1093883159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01049854
- Practice address
- 3700 Washington Ave
Suite 2200
Evansville, IN 47714-0541 - Phone
- (812) 485-7111
- Fax
- (812) 485-7919
- NPI assigned
- Nov 30, 2006
- Last updated
- Feb 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01049854 | IN | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | 01049854 | IN | |
| Gynecology Physician | 207VG0400X | 01049854 | IN | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 01049854 | IN | |
| Obstetrics Physician | 207VX0000X | 01049854 | IN |
Addresses
Primary practice location
3700 Washington Ave
Suite 2200
Evansville, IN 47714-0541
Mailing address
PO Box 359
Evansville, IN 47703-0359
Phone (812) 485-1220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64881899 | Other | KY | KY MEDICAID |
| 200206130 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049854 | IN | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1093883159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 359",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477030359",
"telephone_number": "812-485-1220",
"fax_number": "812-485-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 WASHINGTON AVE",
"address_2": "SUITE 2200",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140541",
"telephone_number": "812-485-7111",
"fax_number": "812-485-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01049854",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "IN",
"license": "01049854",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IN",
"license": "01049854",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IN",
"license": "01049854",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IN",
"license": "01049854",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAID",
"identifier": "64881899",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200206130",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.