D E Riley MD LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

D E RILEY MD LLC

Practice address

4829 Galaxy Pkwy
Warrensville Heights, OH 44128-5900

Phone

(216) 288-2220

NPI assigned

Jul 8, 2014

Organization subpart

No

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

Authorized official

Name

David E Riley, MD

Title

Owner

Phone

(216) 288-2220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1457767675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 GALAXY PKWY",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 GALAXY PKWY",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285900",
            "telephone_number": "216-288-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D E RILEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-288-2220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0699721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Rae Crook, PHARMD, RPH
• Patrice Lashell Cross, RN
• Phebe Crouch, SLP
• Cummings Walcott & David Corporation
• Cummings, Walcott and David Corp
• Tavia Daniels
• Sirena Renee Daugherty
• Julie A Davian, PA-C
• Emily E Davies, PHARMD
• Jalen Maleak Davis

• Neurology Physician in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.