Donovan Paul Shively in Fairfield - Obstetrics & Gynecology

Donovan Paul Shively - NPI 1063485217

Donovan Paul Shively is a Obstetrics & Gynecology in Fairfield, California. Donovan Paul Shively practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Donovan Paul Shively is 1063485217. The last update date is 2009-10-08.

Donovan Paul Shively's current location address is 4397 Edinburg Ct, Fairfield, California. You can contact this provider via phone number 7078642311 and fax number 7078642317. The mailing address for Donovan Paul Shively is 4397 Edinburg Ct, Fairfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Donovan Paul Shively
Address 4397 Edinburg Ct, Fairfield, California
Phone Number 7078642311
Fax Number 7078642317
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1063485217
Provider Enumeration Date 2006-02-08
Last Updated Date 2009-10-08

Provider Mailing Address Detail

Address 4397 Edinburg Ct
City Fairfield
State California (CA)
Post Code 94534
Phone Number 7078642311
Fax Number 7078642317

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No G21888
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G218880 CA --

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FAQs about Donovan Paul Shively

What is the unique 10-digit identification code assigned to Donovan Paul Shively by the Centers for Medicare & Medicaid Services?

The Donovan Paul Shively has been issued the NPI (National Provider Identifier) 1063485217, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Donovan Paul Shively located?

The Donovan Paul Shively is located at 4397 Edinburg Ct, Fairfield, CA 94534.

What is the area of specialization for Donovan Paul Shively, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Donovan Paul Shively is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of expertise is 207V00000X.

On what date did the Donovan Paul Shively receive its 1063485217 assignment from the Centers for Medicare & Medicaid Services?

The Donovan Paul Shively was assigned its 1063485217 by the Centers for Medicare & Medicaid Services on 2006-02-08.

When was the information regarding Donovan Paul Shively most recently updated?

The details pertaining to the Donovan Paul Shively, including its address, specialty, and other relevant information, were last refreshed on 2009-10-08.

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