Provider Demographics
NPI:1376653113
Name:RIKER, JOAN E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:E
Last Name:RIKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7910 LONDON CT
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-6523
Mailing Address - Country:US
Mailing Address - Phone:806-290-8258
Mailing Address - Fax:
Practice Address - Street 1:7910 LONDON CT
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-6523
Practice Address - Country:US
Practice Address - Phone:806-290-8258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5539207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G2974OtherBLUE CROSS BLUE SHIELD
110223417OtherMEDICARE RAILROAD NUMBERS
TX118381604Medicare ID - Type Unspecified
TX8G2974OtherBLUE CROSS BLUE SHIELD
TX87611NMedicare ID - Type Unspecified