Richard L Reilly DPM

Primary specialty

SpecialistTaxonomy code 174400000X

License

SC003861 Issued in PA

Legal business name

RICHARD L REILLY DPM

Practice address

40 E Market St
Blairsville, PA 15717-1370

Phone

(724) 459-3411

Fax

(724) 459-3412

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard L Reilly, DPMNPI 1033123526

Title

Owner

Phone

(724) 459-3411

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Richard L Reilly, DPM

  • Podiatrist
  • Blairsville, PA
  • NPI 1033123526
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194930016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E MARKET ST",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171370",
            "telephone_number": "724-459-3411",
            "fax_number": "724-459-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MARKET ST",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171370",
            "telephone_number": "724-459-3411",
            "fax_number": "724-459-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L REILLY DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-459-3411",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "SC003861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015223780005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "761516",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason P Rasefske, MD
• Cassandra Elizabeth Reeves
• Richard L Reilly, DPM
• Thomas Vincent Reilly, D.D.S.
• Dane Renwick, ATC
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01014)
• Danielle Alexis Roe, MD
• Emily Michele Rudy, DPT
• Susan Lynn Rugh, PHARMD
• John T Santarlas, MD

• Specialist in Blairsville, PA
• Providers in Blairsville, PA by specialty
• Specialist in Pennsylvania

• 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.