Active NPI
Patricia Riley, M.D.
- Surgery Physician
- Stroudsburg, PA
National Provider Identifier
1417937988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD427810
- Practice address
- 292 Frantz Rd.
Pocono General Surgery. Suite 102
Stroudsburg, PA 18360 - Phone
- (570) 426-2900
- Fax
- (570) 426-2929
- NPI assigned
- Jan 19, 2006
- Last updated
- Dec 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD427810 | PA | Primary |
| Surgery Physician | 208600000X | 12079 | NV |
Addresses
Primary practice location
292 Frantz Rd.
Pocono General Surgery. Suite 102
Stroudsburg, PA 18360
Mailing address
206 E Brown St
Pocono Healthcare Management-Professional Center
East Stroudsburg, PA 18301-3006
Phone (570) 420-4951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia Riley MD LTD | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Las Vegas, NV
- NPI 1811069883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1417937988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E BROWN ST",
"address_2": "POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-420-4951",
"fax_number": "570-476-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 FRANTZ RD.",
"address_2": "POCONO GENERAL SURGERY. SUITE 102",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "18360",
"telephone_number": "570-426-2900",
"fax_number": "570-426-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "PATRICIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD427810",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "12079",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.