Harry R Lively MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G56294 Issued in CA

Legal business name

HARRY R LIVELY MD INC

Practice address

119 S Locust St
Suite B
Visalia, CA 93291-6251

Phone

(559) 749-0223

Fax

(559) 749-0886

NPI assigned

Aug 20, 2008

Last updated

Apr 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Harry R Lively, MDNPI 1922154863

Title

Owner/President

Phone

(559) 749-0223

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harry R Lively, M.D.

  • Cardiovascular Disease Physician
  • Visalia, CA
  • NPI 1922154863
  Authorized official Same address or phone

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1679720700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2709",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932792709",
            "telephone_number": "559-749-0223",
            "fax_number": "559-749-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S LOCUST ST",
            "address_2": "SUITE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916251",
            "telephone_number": "559-749-0223",
            "fax_number": "559-749-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY R LIVELY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "LIVELY",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "559-749-0223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G56294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G562940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Harris-Groeber, PH.D.
• Dominique Harris
• Edna Mae Harris, NP
• Kaylah Harris
• Logan Harris
• Mathew Hartounian, DO
• Caitlin Alyse Hartsell
• Danae M Hartsell
• Jonathan Edward Hartshorn
• Thanit Hasadsri, M.D.

• Cardiovascular Disease Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.