Provider Demographics
NPI:1952749756
Name:RILEY, ELMER LEONARD III (MD)
Entity type:Individual
Prefix:DR
First Name:ELMER
Middle Name:LEONARD
Last Name:RILEY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 100225
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0225
Mailing Address - Country:US
Mailing Address - Phone:352-273-8737
Mailing Address - Fax:352-273-9154
Practice Address - Street 1:4801 E LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2226
Practice Address - Country:US
Practice Address - Phone:816-922-2088
Practice Address - Fax:816-922-4857
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2023-01-30
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Provider Licenses
StateLicense IDTaxonomies
KS9408230207R00000X
FLME144924207R00000X, 207RP1001X
KS014-39014207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine