Walter J Riley MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19292 Issued in IA

Legal business name

WALTER J RILEY MD PC

Practice address

315 University
Des Moines, IA 50314-3128

Phone

(515) 244-9950

Fax

(515) 244-5933

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Walter James Riley, MD

Title

President

Phone

(515) 244-9950

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164552576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 UNIVERSITY",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143128",
            "telephone_number": "515-244-9950",
            "fax_number": "515-244-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 UNIVERSITY",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143128",
            "telephone_number": "515-244-9950",
            "fax_number": "515-244-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER J RILEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-244-9950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": "19292",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "010644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195636",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Audrey Wallingford, LMSW
• Ashley Wallingford
• Rachel M Wallish, PT, DPT
• Walmart Inc.
• Dianne Walsh, LISW
• Mason Christoph Walter, COTA
• Trinity M Walter, PA-C
• Dorothy J Walters, AU.D.
• Lisa Walton, LISW
• Cheyanne Waltz

• All providers in Des Moines, IA
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.