Dr. John Richard Reilly
Emergency Medical Services
4200 Wisconsin Ave Nw #223
Washington
, District of Columbia 20016-2143
Dr. John Richard Reilly
Emergency Medical Services
4200 Wisconsin Ave Nw #223
Washington
, District of Columbia 20016-2143
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. John Richard Reilly
- 4200 Wisconsin Ave Nw #223
- Washington, DC
- Zip : 20016-2143
- Phone :
Second Address
- Dr. John Richard Reilly
- 4200 Wisconsin Ave Nw #223
- Washington, DC
- Zip : 20016-2143
- Fax : (202) 452-1542
- Phone : (202) 466-1800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | MD16171 | DC |
National Provider Identifier
| NPI | 1124061510 |
|---|---|
| Provider Name | Dr. John Richard Reilly |
| First Address | Washington, DC 20016-2143 |
| Second Address | Washington, DC 20016-2143 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 10/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PENDING | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.