Jillian Riley D.O. P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4553 Issued in OK

Legal business name

JILLIAN RILEY D.O. P.C.

Practice address

1202 W Cherokee St
Suite D
Wagoner, OK 74467-4629

Phone

(918) 406-2567

Fax

(918) 742-1103

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jillian R Riley, D.O.

Title

Owner

Phone

(918) 406-2567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1376780031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W CHEROKEE ST",
            "address_2": "SUITE D",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674629",
            "telephone_number": "918-406-2567",
            "fax_number": "918-742-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W CHEROKEE ST",
            "address_2": "SUITE D",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674629",
            "telephone_number": "918-406-2567",
            "fax_number": "918-742-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN RILEY D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-406-2567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "4553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Marie Jackson
• Maeghan Lee Jakubovitz
• Teresa Melinda James, APRN CFNP
• Jeff S. Jennings, DO, PLLC
• Pamela Sue Jennings
• John Belk Family Practice PLLC
• Alexa Johnson
• Michael E Johnson, BS
• Glenn Jones Jr.
• Karen Lynn Jones

• Primary Care Clinic/Center in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.