Provider Demographics
NPI:1770791055
Name:RILEY, JAREN M (MD)
Entity type:Individual
Prefix:DR
First Name:JAREN
Middle Name:M
Last Name:RILEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-861-2663
Mailing Address - Fax:303-861-4741
Practice Address - Street 1:2055 N HIGH ST
Practice Address - Street 2:#130
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5503
Practice Address - Country:US
Practice Address - Phone:303-861-2663
Practice Address - Fax:303-861-4741
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2022-01-26
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Provider Licenses
StateLicense IDTaxonomies
IAR-7402207X00000X
CO48800207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025633000Medicaid
SD1770791055Medicaid
OK200320870AMedicaid
CO58958274Medicaid
WY1770791055Medicaid
CO58958274Medicaid