DONOVAN P. SHIVELY MD – NPI #1063485217
Obstetrics & Gynecology

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 a primary physician for women.

DONOVAN SHIVELY is a physician located in FAIRFIELD, CA. NPPES has assigned the NPI number 1063485217 to DONOVAN SHIVELY on February 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 17 years ago on Oct 08, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DONOVAN SHIVELY below.

The provider associated with this NPI number, 1063485217, has been excluded by the Office of Inspector General.

NPI Profile for
DONOVAN P. SHIVELY

NPI Number
1063485217
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DONOVAN P. SHIVELY
Credentials
MD
Primary location
4397 EDINBURG CT
FAIRFIELD, CA 94534
Phone: (707) 864-2311 Fax: (707) 864-2317
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for DONOVAN SHIVELY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G218880
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
CA G21888

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.