John Ewing Stively III, JOHN STIVELY

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

59251 Issued in MA

Practice address

200 Mill Rd
Fairhaven, MA 02719-5252

Phone

(508) 999-1100

NPI assigned

Jul 10, 2006

Last updated

Sep 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. John Owens-Stively Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hopehealth Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Attleboro, MA
  • NPI 1861425688

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1396779781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BARNES ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061501",
            "telephone_number": "401-439-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-999-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVELY",
        "first_name": "JOHN",
        "middle_name": "EWING",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "JOHN  STIVELY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "59251",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "59251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "OWENS-STIVELY",
            "prefix": "DR.",
            "credential": "JOHN  STIVELY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meagan Souza, LMT
• Alyson L Sparrow
• Megan L Specht-Benbenek
• Matthew Spring, MD
• Katherine Starr
• Jeanne F Sullivan, RDH
• Lindsey A Sullivan, PA
• Maura A Sullivan, PHYSICAL THERAPIST
• Sarah Elizabeth Sullivan, APRN
• Frida Sylvia

• Family Medicine Physician in Fairhaven, MA
• Providers in Fairhaven, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.