OrganizationActive
Jillian Riley D.O. P.C.
NPI 1376780031 · Primary Care Clinic/Center · Wagoner, OK
Provider details
- NPI number
- 1376780031
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jillian Riley, Owner(918) 406-2567
- License
- 4553 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1202 W Cherokee St
Suite D
Wagoner, OK 74467-4629
Phone: (918) 406-2567
Fax: (918) 742-1103
Street-level locationGet directions
Mailing address
1202 W Cherokee St
Wagoner, OK 74467-4629
Registry dates
- Enumerated
- 2009-01-15
- Last updated
- 2009-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.