Dr. John E Stively III, JOHN STIVELY
Family Medicine in Fairhaven, Massachusetts
1396779781- Practice location
- 200 Mill RD, Fairhaven, MA 02719-5252
- Phone
- 508-999-1100
- Fax
- —
- Last updated
- September 3, 2014
John Ewing Stively is a Family Medicine based in Fairhaven, MA. John Ewing Stively practices in Fairhaven, MA and has the professional credentials of JOHN STIVELY. The NPI Number for John Ewing Stively is 1396779781 and holds a License No. 59251 (MA). The current practice location address for John Ewing Stively is 200 Mill RD, Fairhaven, MA 02719-5252 and can be reached out via phone at 508-999-1100.
Provider Profile Details
- NPI Number
- 1396779781
- Provider Name
- John Ewing Stively
- Credential
- JOHN STIVELY
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Mill RD, Fairhaven, MA 02719-5252
- Phone Number
- 508-999-1100
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Other Names
- Dr. John Owens-Stively, JOHN STIVELY (Former Name)
- Provider Enumeration Date
- July 10, 2006
- Last Update Date
- September 3, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Mill RD
Fairhaven, MA 02719-5252 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719-5252
- Phone Number
- 508-999-1100
Provider Business Mailing Address Details
- Address
- 57 Barnes St
Providence, RI 02906-1501 - City
- Providence
- State
- RI
- Zip
- 02906-1501
- Phone Number
- 401-439-4950
License Information
- License Number (1)
- 59251
- License State (1)
- MA
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 59251
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. John E Stively III, JOHN STIVELY?
The NPI number of Dr. John E Stively III, JOHN STIVELY is 1396779781. It was assigned on July 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. John E Stively III, JOHN STIVELY?
Dr. John E Stively III, JOHN STIVELY is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 59251.
Where does Dr. John E Stively III, JOHN STIVELY practice?
The practice location is 200 Mill RD, Fairhaven, MA 02719-5252. The office can be reached at 508-999-1100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396779781 directly on the NPPES registry website.