DR. JOHN CARROLL SHIVELY


Address: 3701 State Road 26 E, Lafayette, IN 47905-4808
Phone: 7654485800

DR. JOHN CARROLL SHIVELY (NPI# 1770763153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770763153
Entity Type Individual
Full Name DR. JOHN CARROLL SHIVELY
Credential M.D.
Practice Address 3701 State Road 26 E
Lafayette
IN 47905-4808
Practice Telephone 7654485800
Practice Fax Number 7654482032
Mailing Telephone 7654485800
Mailing Fax Number 7654482032
Enumeration Date 2007-11-14
Last Update Date 2007-11-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
01032390A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 3701 STATE ROAD 26 E
City LAFAYETTE
State IN
Zip Code 47905-4808

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
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Taxonomy Information

Taxonomy Code 2083X0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Occupational Medicine

Taxonomy Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538336011 Ray Cleveland Boyer Preventive Medicine 304 Steiner Rd, Lafayette, LA 70508-6006 2008-05-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235787425 Deaconess Clinic Inc Preventive Medicine 4949 Healthy Way Ste D, Evansville, IN 47715-1180 2019-08-30
1871042077 U.S. Healthworks Medical Group of Indiana, PC Preventive Medicine 4125 West Clara Lane, Suite 200, Muncie, IN 47304-5412 2016-09-28
1710300033 St. Vincent Health Wellness and Preventive Care Institute, Inc. Preventive Medicine 6625 Network Way, #390, Indianapolis, IN 46278-1682 2014-01-22
1104263227 Saligrama A Ranganath Preventive Medicine 1251 Eastport Centre Dr Ste B, Valparaiso, IN 46383-2904 2013-05-30
1174866156 St. Vincent Hospital and Health Care Center, Inc. Preventive Medicine 4800 S 975 E, Zionsville, IN 46077-8252 2013-03-28
1114220589 Scott Brian Edwards Preventive Medicine 50680 Pheasant Cove Dr, Granger, IN 46530-7583 2010-12-07
1265746689 Floyd Edward Thurston Preventive Medicine 3310 E Mulberry Ct, Bloomington, IN 47401-2425 2010-07-27
1023278207 Dorothy J. Lenzi Preventive Medicine 301 N Curry Pike, Bloomington, IN 47404-2502 2008-06-11
1184890212 St. Francis Hospital and Health Centers Preventive Medicine 315 N Dan Jones Rd, Suite 120, Plainfield, IN 46168-2817 2008-05-08
1790969467 St. Vincent Madison County Health System, Inc. Preventive Medicine 7408 W State Road 28, Elwood, IN 46036-8600 2007-12-18
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Competitor

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City LAFAYETTE
Zip Code 47905

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Dataset Information

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.

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