PHILLIP L. STIVER (NPI# 1073510889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073510889 |
| Entity Type | Individual |
| Full Name | PHILLIP L. STIVER |
| Credential | M.D. |
| Practice Address |
225 Crosslake Dr Evansville IN 47715-8198 |
| Practice Telephone | 8124771558 |
| Mailing Telephone | 8124771558 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
1027875 | IN | Allopathic & Osteopathic Physicians |
| X | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
1027875 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | HEALTHLINK | 135422 | 01 |
| IN | ANTHEM | 000000108312 | 01 |
| Street Address |
225 CROSSLAKE DR |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-8198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822279 | Jacob M O'neill | Orthopaedic Surgery | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2005-06-23 |
| 1952918419 | Mallory Leeann Baker | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-29 |
| 1558975045 | Kurtis D Anthony | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-02 |
| 1487270104 | Madison Jo Mundy | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-06-18 |
| 1336774900 | Brandi L Fields | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-03-04 |
| 1982257507 | Shelby Clark | Physician Assistant | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-23 |
| 1043872013 | Jonathan Bernard Kirsch | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-01 |
| 1346800398 | Justin David Isiah King | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-06-20 |
| 1831656313 | Tri-state Orthopaedic Surgeons, Inc | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-02-21 |
| 1093295768 | Rebecca L Thomas | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348155 | John W. Deppe | Orthopaedic Surgery | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1326213109 | Steven K Ahlfeld Md, PC | Orthopaedic Surgery | 9302 N Meridian St Ste 110, Indianapolis, IN 46260-1818 | 2008-04-23 |
| 1780707265 | New Hope Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 325 Westfield Rd, Suite A, Noblesville, IN 46060-1497 | 2007-04-09 |
| 1740313071 | Atlas Orthopedics & Sports Medicine Inc PC | Orthopaedic Surgery | 3660 Guion Rd Ste 230, Indianapolis, IN 46222-1691 | 2007-03-14 |
| 1780723122 | Jeffrey S Staron | Orthopaedic Surgery | 8141 Calumet Ave Unit 1, Munster, IN 46321-1701 | 2007-02-05 |
| 1376622936 | Lorin Merrill Brown | Orthopaedic Surgery | 1950 45th St Ste 200, Munster, IN 46321-3958 | 2006-11-03 |
| 1033214366 | Rivercross Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 18051 River Ave Ste 100, Noblesville, IN 46062-7093 | 2006-09-13 |
| 1366489338 | Dale S Snead | Orthopaedic Surgery | 201 Pennsylvania Parkway Suite 200, Indianapolis, IN 46280-2301 | 2006-05-31 |
| 1407859051 | Daniel C Eby | Orthopaedic Surgery | 600 W. 13th St, Suite 200, Jasper, IN 47546-1883 | 2005-05-27 |
| 1639782907 | Jenna Renee Sparks | Orthopaedic Surgery | 1801 N Senate Blvd Ste 400, Indianapolis, IN 46202-1245 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.