Eugene H Shively (NPI# 1396720132, PAC ID# 4880616010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1396720132 |
PAC ID by PECOS | 4880616010 |
Professional Enrollment ID | I20051230000453 |
Full Name | Eugene H Shively |
Organization Legal Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
Address |
522 N Hoskins Ave Campbellsville KY 42718-2117 |
Phone Number | 2708492379 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
Graduation Year | 1970 |
Primary Specialty | GENERAL SURGERY |
Secondary Specialties | GENERAL PRACTICE |
Group Practice PAC ID | 4880616622 |
Number of Group Practice Members | 57 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180087 | TAYLOR REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
522 N Hoskins Ave, Campbellsville, KY 42718-2117 | 2708492379 | TAYLOR REGIONAL MEDICAL GROUP, LLC |
Organization Legal Name | TAYLOR REGIONAL MEDICAL GROUP, LLC |
Physicians | 51 |
Name | Specialty | Organization | Address |
---|---|---|---|
Meredith Angel | Urology | Taylor Regional Medical Group, LLC | 1698 Old Lebanon Rd, 3b, Campbellsville, KY 42718-9662 |
Meredith H Gilpin | Physician Assistant | Taylor Regional Medical Group, LLC | 325 W Walnut St, Lebanon, KY 40033-1382 |
Courtney R Bowling | Nurse Practitioner | Taylor Regional Medical Group, LLC | 73 Kingswood Dr, Campbellsville, KY 42718-9604 |
Ashley P Turner | Physician Assistant | Taylor Regional Medical Group, LLC | 125 Greenbriar Dr, Campbellsville, KY 42718-9616 |
Jason Alan Wright | Nurse Practitioner | Taylor Regional Medical Group, LLC | 325 N Walnut St, Lebanon, KY 40033-1377 |
Leslie D Simmons | Nurse Practitioner | Taylor Regional Medical Group, LLC | 105 Greenbriar Dr, Suite B, Campbellsville, KY 42718-9617 |
Diane L Thiery | Nurse Practitioner | Taylor Regional Medical Group, LLC | 127 Kingswood Dr, Campbellsville, KY 42718-9634 |
Jacquelyn Marie Brendel | Nurse Practitioner | Taylor Regional Medical Group, LLC | 67 Kingswood Dr, Campbellsville, KY 42718-9647 |
Dennis Scott Wooley | Nurse Practitioner | Taylor Regional Medical Group, LLC | 95 Kingswood Dr, Campbellsville, KY 42718-9604 |
Dorothy M Dudley | Nurse Practitioner | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
Street Address |
522 N HOSKINS AVE |
City | CAMPBELLSVILLE |
State | KY |
Zip | 42718-2117 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kellee D Frogge | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
Summer Raye Tucker | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
Vicki Lou Van Cleave | Psychologist, Clinical | 112 Roberts Rd, Suite 1, Campbellsville, KY 42718-1593 | |
Abrielle D Conway | Clinical Psychologist | 112 Roberts Rd, Unit 1, Campbellsville, KY 42718-1593 | |
Lora D Sztendera | Family Medicine | 407 E 1st St, Campbellsville, KY 42718-1836 | |
Raymond A Roberts | Chiropractic | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | |
Deborah K Gabbert | Qualified Speech Language Pathologist | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
Kyle B Salsbury | Physical Therapy | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
Mark A Risen | Podiatry | 1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 | |
Angela F Soltero | Nurse Practitioner | Psf Pllc | 111 Wildflower Lane, Suite A, Campbellsville, KY 42718-3362 |
Find all physicians in zip 42718 |
City | CAMPBELLSVILLE |
Zip Code | 42718 |
Specialty | GENERAL SURGERY |
City + Specialty | CAMPBELLSVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Eugene H Shively.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.