MEDICARE: RILEY PATRICK THOMPSON CAA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	PENDING	OH
2	367H00000X	Anesthesiologist Assistant	75000247A	IN

General Provider Information

NPI Number	:	1386221729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RILEY PATRICK THOMPSON CAA

Provider Business Mailing Address
First Line	:	15000 REGENTS WAY
Second Line	:
City	:	CHARDON
State	:	OH
Zip	:	44024-8510
Country	:	US
Telephone Number	:	440-227-9386
Fax Number	:

Provider Business Practice Location Address
First Line	:	2139 AUBURN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2906
Country	:	US
Telephone Number	:	513-585-2221
Fax Number	:	513-585-3293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	02/02/2026

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Directions to “ RILEY PATRICK THOMPSON CAA” Practice Location

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