Provider Demographics
NPI:1194773069
Name:RIKER, ADAM IRWIN (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:IRWIN
Last Name:RIKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1542 TULANE AVE
Mailing Address - Street 2:ROOM 741
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2865
Mailing Address - Country:US
Mailing Address - Phone:504-568-4752
Mailing Address - Fax:504-568-2726
Practice Address - Street 1:1542 TULANE AVE
Practice Address - Street 2:ROOM 741
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2865
Practice Address - Country:US
Practice Address - Phone:504-568-4752
Practice Address - Fax:504-568-2726
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2026662086X0206X, 2086X0206X
IL0360951432086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06078743Medicaid
AL009911727Medicaid
AL051542940OtherBCBS
GA1194773069OtherRAILROAD PTAN
LA1372579Medicaid
AL51534456OtherBLUE CROSS
AL009937133Medicaid
FL266043100Medicaid
AL51534456OtherBLUE CROSS
4N8607061Medicare UPIN
FL266043100Medicaid
H58425Medicare UPIN
AL51557720Medicare PIN
LA4N8607061Medicare PIN