GEOFFREY DANIEL LIVELY (NPI# 1275760498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275760498 |
Entity Type | Individual |
Full Name | GEOFFREY DANIEL LIVELY |
Credential | MD |
Practice Address |
10580 N Meridian St Indianapolis IN 46290-1028 |
Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
Practice Telephone | 3175835000 |
Enumeration Date | 2009-06-15 |
Last Update Date | 2017-10-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
01075071A | IN | Allopathic & Osteopathic Physicians |
N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
0101250395 | VA | Allopathic & Osteopathic Physicians |
Street Address |
10580 N MERIDIAN ST |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46290-1028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588665988 | Diane Carol Gibbs | Anesthesiology | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2005-08-09 |
1801411525 | Elizabeth Denae Stewart | Dietitian, Registered | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2020-06-09 |
1831738269 | Sarah Carson | Nurse Practitioner | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2020-01-02 |
1467866251 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2014-06-19 |
1871920793 | Karen Post | Pharmacist | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2013-10-09 |
1174799936 | Shelly J Plotner | Social Worker | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2008-05-01 |
1932373222 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 10580 N Meridian St, Suite 400, Indianapolis, IN 46290-1028 | 2008-04-17 |
1689846347 | Lucas William Mitchel | Anesthesiology | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2008-04-01 |
1932267044 | Corview, LLC | Radiology | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
1801281670 | Elizabeth Tibbs | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290 | 2015-03-30 |
1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
Find all providers in zip 46290 |
Taxonomy Code | 207LC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Critical Care Medicine |
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629340278 | Jack M Kamen | Anesthesiology | 8782 Cricket Tree Ln, Indianapolis, IN 46260-1660 | 2012-01-29 |
1588665988 | Diane Carol Gibbs | Anesthesiology | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2005-08-09 |
1811345556 | Maura Elizabeth Walsh | Anesthesiology | 1701 N Senate Blvd, Ag012, Indianapolis, IN 46202-1239 | 2016-06-02 |
1548673841 | Colin Michael Rogerson | Anesthesiology | 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2014-06-04 |
1649613423 | Benjamin Patrick Havens | Anesthesiology | 2001 W 86th St, Indianapolis, IN 46260 | 2013-04-11 |
1417290149 | Alyson K Baker | Anesthesiology | 705 Riley Hospital Dr, Ri 3004, Indianapolis, IN 46202-5109 | 2013-04-01 |
1629310800 | Jason A Espinoza | Anesthesiology | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2013-03-26 |
1134482193 | Lee Doyle Murphy | Anesthesiology | 705 Riley Hospital Dr, Ri 4900, Indianapolis, IN 46202-5109 | 2012-06-24 |
1235495698 | Danielle Kristine Maue | Anesthesiology | 705 Riley Hospital Dr, Ri 3004, Indianapolis, IN 46202 | 2012-04-10 |
1053699306 | Christopher G Markham | Anesthesiology | 705 Riley Hospital Dr, Ri 4900, Indianapolis, IN 46202-5109 | 2011-08-03 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46290 |
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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.