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DR. EDWARD CLARK RILEY D.O. NPI 1902856719


NPI Information

NPI: 1902856719
Provider Name: DR. EDWARD CLARK RILEY, D.O.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
255 NORTH 30TH STREET
IVINSON MEMORIAL HOSPITAL
LARAMIE, WY
ZIP 82072
Phone: (307) 742-2141
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DR. Edward Clark Riley, D.O. is an emergency medicine in Laramie, WY with 29 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Edward Clark Riley, D.O. NPI is 1902856719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

255 NORTH 30TH STREET
IVINSON MEMORIAL HOSPITAL
LARAMIE, WY
ZIP 82072
Phone: (307) 742-2141

The NPI 1902856719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 11/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineDO624ALABAMANo
2207P00000XEmergency Medicine7932AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1510I930010MEDICARE UPIN
2510I930010MEDICARE PIN
351045390OTHERALABAMABLUE CROSS BLUE SHIELD
4H04004MEDICARE UPIN
5009917200MEDICAIDALABAMA
6080155685OTHERRAILROAD
7510I930010MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.