Christopher S Riley, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M-5336 Issued in ID

Practice address

1441 Parkway Dr
Blackfoot, ID 83221-1667

Phone

(208) 785-2600

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blackfoot Medical Clinic Mental Health

  • Professional Counselor
  • Blackfoot, ID
  • NPI 1265635205
  NPD (past)
• Blackfoot Medical Clinic RHC

  • Family Medicine Physician
  • Blackfoot, ID
  • NPI 1124283254
  NPD (past)
• Blackfoot Medical Clinic Surgeons

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1740580794

  Surgery

  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1831144757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211667",
            "telephone_number": "208-785-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211667",
            "telephone_number": "208-785-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M-5336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002331700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Marie Reynolds, PA
• Madison J Rhodes, LMSW
• Richard C. Hill MD, PLLC
• Ralph Lynn Richards, LMSW
• Ridleys Family Markets Inc
• Sharon Lee Rivas, LCSW
• River Valley Chiropractic PLLC
• Riverside Dental PC
• Riverside Wellness, LLC
• Robinson and Affiliates, Inc.

• All providers in Blackfoot, ID
• Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.