Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THADDEUS BEAM RILEY, PA
ActiveMR. THADDEUS BEAM RILEY, PA is a Medical Physician Assistant healthcare provider located in LOUISVILLE, Kentucky. NPI 1144417999 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LOUISVILLE, KY
Registration Details
- NPI Number
- 1144417999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2007 (18.883907881723 yrs)
- Last Updated
- Nov 27, 2023
- License
-
PA1070 (KY)
Practice Information
- Address
-
947 EASTERN PKWYLOUISVILLE, KY, 402171573Browse KY providers · Browse ZIP 40217
- Phone
- 5023618801
- Fax
- 5023618821
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| MELISSA D PACKWOOD | PA | 1518963073 |
| CHRISTI M GOLDMAN | PA-C | 1881682581 |
| MS. CONNIE ANN MELTON | PA-C | 1942245253 |
| CYNTHIA R WILLIAMS | PA-C | 1598771644 |
| MITZI L CARTER | PA-C | 1821001421 |
| SANDRA D. SHANABERGER | P.A.-C. | 1730284076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.