DR. RICHARD ETHAN BIVIN


Address: 515 N College St, Lincoln, IL 62656-1401
Phone: 2177329681

DR. RICHARD ETHAN BIVIN (NPI# 1386641033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386641033
Entity Type Individual
Full Name DR. RICHARD ETHAN BIVIN
Credential M.D.
Practice Address 515 N College St
Lincoln
IL 62656-1401
Mailing Address Po Box 3428
Springfield
IL 62708-3428
Practice Telephone 2177329681
Practice Fax Number 2177356373
Mailing Telephone 2177577491
Mailing Fax Number 2177572021
Enumeration Date 2005-07-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine IL Allopathic & Osteopathic Physicians

Office Location

Street Address 515 N COLLEGE ST
City LINCOLN
State IL
Zip Code 62656-1401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770121980 Linda M Fields Nurse Practitioner 515 N College St, Lincoln, IL 62656-1401 2019-12-18
1265097737 Jamie L Steward Social Worker 515 N College St, Lincoln, IL 62656-1401 2019-05-09
1346752557 Jennifer K Fogle Nurse Practitioner 515 N College St, Lincoln, IL 62656-1401 2017-10-27
1538683032 Samantha M Olmstead Nurse Practitioner 515 N College St, Lincoln, IL 62656-1401 2017-07-27
1780045229 Randi Hope Nurse Practitioner 515 N College St, Lincoln, IL 62656-1401 2016-03-11
1093189615 Lindsay Otero Nurse Practitioner 515 N College St, Lincoln, IL 62656-1401 2015-11-19
1184000697 Lyndsey Thorne Nurse Practitioner 515 N College St, Lincoln, IL 62656-1401 2015-08-06
1770974800 Nicole Thomas Nurse Practitioner 515 N College St, Lincoln, IL 62656-1401 2015-02-11
1184052201 Olivia Valdez Counselor 515 N College St, Lincoln, IL 62656-1401 2013-10-29
1750716734 Julie A Gifford Nurse Practitioner 515 N College St, Lincoln, IL 62656-1401 2013-09-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437678943 Carissa Jo O'donoghue Speech-Language Pathologist 1000 Railer Way, Lincoln, IL 62656 2017-09-15
1083972012 Cynthia Dorchinecz Speech-Language Pathologist 200 Fifth Street, Lincoln, IL 62656 2012-04-27
1104100114 Jan E Fehrenbacher Pharmacist 603 Woodlawn, Lincoln, IL 62656 2011-10-10
1053633263 Tazwood Mental Health Center, Inc. Community/Behavioral Health 124-126 S. Chicago Street, Lincoln, IL 62656 2010-02-16
1649428756 Diane E Ulrich Dentist 400 N. Chicago St, Lincoln, IL 62656 2008-09-03
1922202944 Robert C Miller Dentist 217 S Kickapoo St, Lincoln, IL 62656 2007-06-13
1720290638 Lifetime Dental Care of Illinois, PC Dentist 411 Keokuk Street, Lincoln, IL 62656 2007-05-04
1982734539 Wal-mart Stores, Inc. Dba Wal-mart Technician/Technologist 825 Malerich Dr., Lincoln, IL 62656 2007-03-06
1861571663 David R Hepler II Chiropractor 2000 Pulaski Street, Lincoln, IL 62656 2006-11-03
1477561793 Raymond Todd Nobbe Optometrist 1400 Woodlawn Road, Lincoln, IL 62656 2006-08-03
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740898907 Physician Management Services of Nebraska, LLC Family Medicine 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 2020-07-14
1508486416 Bluestem Health Family Medicine 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 2020-04-21
1356812788 Holy Family Medical Associates, LLC Family Medicine 7121 Stephanie Ln Ste 105, Lincoln, NE 68516-5324 2018-12-11
1295217735 Angela Zavala Family Medicine 4130 Pioneer Woods Dr Ste 2, Lincoln, NE 68506-7552 2018-08-31
1477043800 Kyle Thomas Gibbens Family Medicine 4600 Valley Rd Ste 210, Lincoln, NE 68510-4892 2018-05-10
1821513722 Good Faith Family Medicine, LLC Family Medicine 8055 O Street Suite 100, Lincoln, NE 68510 2017-08-11
1023531936 Doctors of Women, LLC Family Medicine 8055 O St Ste 100, Lincoln, NE 68510-2575 2017-07-23
1881049526 Family Health & Wellness Center, P.C. Family Medicine 2900 S 70th St Ste 310, Lincoln, NE 68506-3690 2016-05-02
1114397254 Primarycare Housecalls PC Family Medicine 5601 S 59th St, Lincoln, NE 68516-2306 2015-10-01
1639584436 Martha Miller Family Medicine 1020 Daniel Dr, Lincoln, CA 95648-8539 2014-07-01
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Competitor

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City LINCOLN
Zip Code 62656

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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