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David A Riley

Surgeon Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery and 3 more

1300 Anne St Nw
Bemidji , Minnesota 56601-5103

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngologist (ENT Doctor)
  • Facial Plastic Surgeon
  • Otolaryngology/Facial Plastic Surgery
  • Surgeon
  • Plastic and Reconstructive Surgery
  • Surgical Oncologist

Languages spoken

  • English

Location

1300 Anne St Nw Bemidji , Minnesota 56601-5103

First Address

  • David A Riley
  • Po Box 2010
  • Fargo, ND
  • Zip : 58122-2484
  • Phone :

Second Address

  • David A Riley
  • 1300 Anne St Nw
  • Bemidji, MN
  • Zip : 56601-5103
  • Phone : (218) 333-5000

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FAQs


Where did David A Riley attend graduate school?

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Where did David A Riley do his residency?

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Where did David A Riley do his fellowship?

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Is David A Riley board certified?

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What type of doctor is David A Riley

Otolaryngologist (ENT Doctor)

In what state does David A Riley practice in?

Minnesota

Where is David A Riley ’s practice located?

1300 Anne St Nw , Bemidji, Minnesota, 56601-5103

What is David A Riley ’s gender?

Male

Is David A Riley a sole practitioner?

No

Is David A Riley accepting new patients?

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What languages does David A Riley speak?

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Does David A Riley accept insurance?

Yes, David A Riley accepts insurance

Does David A Riley offers telemedicine?

David A Riley has not indicated if he offers telemedicine

What is David A Riley ’s professional license number?

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What is David A Riley ’s NPI number?

1649245838

Does David A Riley have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Y00000X Otolaryngologist (ENT Doctor) 59006 MN
N 207Y00000X Otolaryngologist (ENT Doctor) MD00030575 WA
N 207YS0123X Facial Plastic Surgeon MD00030575 WA
N 207YX0905X Otolaryngology/Facial Plastic Surgery MD00030575 WA
N 208200000X Surgeon MD00030575 WA
N 208600000X Surgeon MD00030575 WA
N 2086S0122X Plastic and Reconstructive Surgery MD00030575 WA
N 2086X0206X Surgical Oncologist MD00030575 WA

National Provider Identifier

NPI 1649245838
Provider Name David A Riley
First Address Fargo, ND 58122-2484
Second Address Bemidji, MN 56601-5103
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/02/2006
Last Update Date 24/05/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
122444 STATE LABOR & INDUSTRIES (01) WA
8227415 (05) WA
F56853 (02) WA
MD00030575 WA STATE MEDICAL LICENSE (01) WA

NPI Footnotes


What is the National Provider Identifier (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 = doinq 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 NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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