DR. MERRY KATHLEEN RILEY MD NPI 1558311993

Pediatrics in Comstock Park, MI

Individual Female Pediatrics

About MERRY RILEY

Merry Riley is a provider established in Comstock Park, Michigan and her medical specialization is pediatrics. The NPI number of Merry Riley is 1558311993 and was assigned on May 2006. The practitioner's primary taxonomy code is 208000000X with license number 4301063687 (MI). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI

1558311993

Provider NameDR. MERRY KATHLEEN RILEY MD
Provider Location Address4735 WEST RIVER DR. COMSTOCK PARK, MI 49321
Provider Mailing Address4735 WEST RIVER DR. COMSTOCK PARK, MI 49321
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date05-10-2006
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.4301063687
License StateMI
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

DR. MERRY KATHLEEN RILEY MD
4735 WEST RIVER DR.
COMSTOCK PARK, MI
ZIP 49321
Phone: (616) 784-9400
Fax: (616) 784-5167

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Mailing Address

DR. MERRY KATHLEEN RILEY MD
4735 WEST RIVER DR.
COMSTOCK PARK, MI
ZIP 49321
Phone: (616) 784-9400
Fax: (616) 784-5167

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3383433MEDICAID (05)MI
063687MEDICARE UPIN (02)MI

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174572671DR. NICHOLAS P KOKX MD
Individual
Pediatrics4735 WEST RIVER DR.
COMSTOCK PARK, ID 49321
(616) 784-9400
1285683631DR. JANETTE M MORIN-SIMS MD
Individual
Pediatrics4735 WEST RIVER DR.
COMSTOCK PARK, MI 49321
(616) 784-9400
1396795738DR. GARY L VANDYKEN MD
Individual
Pediatrics4735 WEST RIVER DR.
COMSTOCK PARK, MI 49321
(616) 784-9400
1871689638KENT PEDIATRICS, PC
Organization
Pediatrics4735 WEST RIVER DR.
COMSTOCK PARK, MI 49321
(616) 784-9400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.