| John B Riley, DO | |
|
739 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | |
| (616) 994-2770 | |
| (616) 920-6533 |
| Full Name | John B Riley |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Facial Plastic Surgery |
| Location | 739 E Beltline Ave Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629573662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 5101027426 (Michigan) | Primary |
| Entity Name | Michigan Ear Nose Throat And Allergy Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780029991 PECOS PAC ID: 4183868094 Enrollment ID: O20130916000402 |
| Mailing Address | Practice Location Address |
|---|---|
| John B Riley, DO 3100 N Wellness Dr, Holland, MI 49424-8122 Ph: (164) 336-0036 | John B Riley, DO 739 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 Ph: (616) 994-2770 |
James D Thompson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-267-7758 | |
Veronique Wan Fook Cheung, MDCM, FRCSC Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne Ste 2220, Grand Rapids, MI 49503 Phone: 616-267-7758 Fax: 616-267-7290 | |
Chad Afman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546 Phone: 616-267-7758 Fax: 616-267-7290 | |
John Michael Kosta, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 655 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546 Phone: 616-575-1212 Fax: 616-575-1219 | |
Dr. Kristina M Manion, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4055 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-5760 | |
Maraya Baumanis, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4055 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 219-308-7409 | |
Dr. Javier Howard, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4055 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-5760 |