NPIMap

Organization Active NPI

Angela Riley, MD, PC

  • Nephrology Physician
  • Oxford, MS
National Provider Identifier
1184857534
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20152 Issued in MS
Legal business name
ANGELA RILEY, MD, PC
Practice address
2170 South Lamar Blvd
Oxford, MS 38655
Phone
(662) 232-2786
Fax
(662) 232-2443
NPI assigned
Sep 2, 2009
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Angela M Riley, MDNPI 1568574457
Title
President/Owner
Phone
(662) 232-2786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20152 MS Primary

Addresses

Primary practice location

2170 South Lamar Blvd
Oxford, MS 38655

Mailing address

1501 West Jackson Ave Ste 113
PMB 140
Oxford, MS 38655
Phone (662) 232-2786

National Provider Directory

National Provider Directory

Locations

1210 Office Park Dr
Ste 102
Oxford, MS 38655
Phone (662) 232-2786

1501 Jackson Ave W
Ste 113
Oxford, MS 38655

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1184857534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WEST JACKSON AVE STE 113",
            "address_2": "PMB 140",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-232-2786",
            "fax_number": "662-232-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-232-2786",
            "fax_number": "662-232-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA RILEY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "662-232-2786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "20152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.