Angela Lively (NPI# 1043426737, PAC ID# 3072612233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1043426737 |
| PAC ID by PECOS | 3072612233 |
| Professional Enrollment ID | I20070628000512 |
| Full Name | Angela Lively |
| Organization Legal Name | MERIDIAN MEDICAL GROUP PC |
| Address |
1115 N Ronald Reagan Pkwy Suite 360 Avon IN 46123-6914 |
| Phone Number | 3172172100 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2163401308 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 | 3172172100 | MERIDIAN MEDICAL GROUP PC |
| Organization Legal Name | MERIDIAN MEDICAL GROUP PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olajide O Odelowo | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Ajay Jain | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| David B Thomas | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Kashif Ahmed | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Donal P Dunne | Gastroenterology | Meridian Medical Group PC | 1801 N Senate Blvd, Suite 700, Indianapolis, IN 46202-1177 |
| Marlo N Miller | Physician Assistant | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Michael R Giacopelli | Physician Assistant | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Sakib K Khalid | Gastroenterology | Meridian Medical Group PC | 1801 N Senate Blvd, Suite 700, Indianapolis, IN 46202-1177 |
| Wen W Boynton | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Mehul M Patel | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Street Address |
1115 N RONALD REAGAN PKWY SUITE 360 |
| City | AVON |
| State | IN |
| Zip | 46123-6914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olajide O Odelowo | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Ajay Jain | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Michael A Litwiller | Psychiatry | Indiana University Health Care Associates Inc | 1115 N Ronald Reagan Pkwy, 364 Iu Health Physicians, Avon, IN 46123-6914 |
| Christian C Strachan | Emergency Medicine | Indiana University Health Care Associates Inc | 1115 N Ronald Reagan Pkwy, 364 Iu Health Physicians, Avon, IN 46123-6914 |
| David B Thomas | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Kashif Ahmed | Gastroenterology | Meridian Medical Group PC | 1115 N Ronald Reagan Pkwy, Suite 360, Avon, IN 46123-6914 |
| Jennessa R Johnston | Nurse Practitioner | Indiana University Health Care Associates Inc | 1115 N Ronald Reagan Pkwy, 364 Iu Health Physicians, Avon, IN 46123-6914 |
| Tonya L Green | Nurse Practitioner | Indiana University Health Care Associates Inc | 1115 N Ronald Reagan Pkwy, 148 Iu Health Physicians Rheumatology, Avon, IN 46123-6913 |
| Emily Cha | Orthopedic Surgery | Indiana University Health Care Associates Inc | 1115 N Ronald Reagan Pkwy, 148 Iu Health Physicians Rheumatology, Avon, IN 46123-6913 |
| Jeffrey W Walker | Family Medicine | Indiana University Health Care Associates Inc | 1115 N Ronald Reagan Pkwy, 364 Iu Health Physicians, Avon, IN 46123-6914 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dannielle Christine Gilyan | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Heather Abbott | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jessica E Squires | Physician Assistant | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jennifer Dale | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Ibrar Faqir Paracha | Nephrology | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jacquelyn H Patterson | Optometry | Wisconsin Vision Inc | 9655 E Us Hwy 36 E, Avon, IN 46123-6212 |
| Allison Elizabeth Williams | Physical Medicine and Rehabilitation | Integrated Rehab Consultants LLC | 762 N Dan Jones Rd, Countryside Meadows, Avon, IN 46123-6213 |
| Jody L Hirst | Clinical Social Worker | Pike Medical Consultants PC | 762 N Dan Jones Rd, Gericare Indy, Avon, IN 46123-6213 |
| Andrew J Scott | Podiatry | Preferred Podiatry Group PC | 762 N Dan Jones Rd, Avon, IN 46123-6213 |
| Ellery R Ho | Podiatry | Preferred Podiatry Group PC | 762 N Dan Jones Rd, Avon, IN 46123-6213 |
| Find all physicians in zip 46123 | |||
| City | AVON |
| Zip Code | 46123 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | AVON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Angela Lively.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.