East Bank Health

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

1170 DO Issued in ME

Legal business name

EAST BANK HEALTH

Practice address

369 S Main St
Brewer, ME 04412-2351

Phone

(207) 200-1907

Fax

(207) 989-0970

NPI assigned

Apr 13, 2016

Last updated

Apr 13, 2016By 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

Dr. James Riley Sr., D.O.NPI 1306998281

Title

President

Phone

(207) 200-1907

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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.

• James Nelson Riley Sr., DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Bangor, ME
  • NPI 1306998281
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1336503515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 S MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122351",
            "telephone_number": "207-200-1907",
            "fax_number": "207-989-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 S MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122351",
            "telephone_number": "207-200-1907",
            "fax_number": "207-989-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BANK HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-200-1907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1170 DO",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "1170 DO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo J. Dugal Jr., P.T.
• Jessica Rachel Dumais
• Stephen Peter Duncan-Morin, OTR
• Adam Duvall, COTA
• Holly Joan Dyer, OTR/L
• Eastern Maine Emergency Veterinary Clinic
• Laura Jean Eaton, OTR/L
• Kathryn Louise Eckert I, LMSW-CC
• Cory Ellis, PTA
• Nathaniel William Elwell, MS, PT

• Geriatric Medicine (Family Medicine) Physician in Brewer, ME
• Providers in Brewer, ME by specialty
• Geriatric Medicine (Family Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.