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Donovan Paul Shively

Debarred entity
TypePerson[sources]
NameDonovan Paul Shively · SHIVELY DONOVAN PAUL MD[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States of America[sources]
DescriptionUPIN: A41413[sources]
First nameDonovan[sources]
Last nameShively[sources]
Middle namePaul[sources]
NPI1063485217[sources]
Registration number00G218880 · G21888[sources]
SectorPhysician[sources]
PositionGYN/OBS (PHYSICIAN (MD, DO))[sources]
Address4160 Suisun Valley Rd., Ste. E, Fairfield, CA, 94534 · 4400 STARFLOWER CT, FAIRFIELD, CA 94534 · FAIRFIELD, CA 94534, USA[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US New York State Medicaid Exclusions8,694

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States of America · OMIG

US SAM Procurement Exclusions105,568

A database of suppliers who have been excluded from participating in US federal procurement.

United States of America · GSA

US Health and Human Sciences Inspector General Exclusions80,987

People and companies excluded from Federally funded health care programs

United States of America · OIG

US California Medicaid Suspended and ineligible providers23,292

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States of America · DHCS

Source data IDs: us-medca-79ebe72186f529ec21f1593c5f4466da24fb3586 · us-fed-excl-donovan-paul-shively-94534-fairfield · us-medny-801e73c8e345633fc1401ff9814fde66b9cceac1

For experts: raw data explorer

FactsheetData sources
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