| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Donovan Paul Shively · SHIVELY DONOVAN PAUL MD | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | UPIN: A41413 | [sources] | |||
| First name | Donovan | [sources] | |||
| Last name | Shively | [sources] | |||
| Middle name | Paul | [sources] | |||
| NPI | 1063485217 | [sources] | |||
| Registration number | 00G218880 · G21888 | [sources] | |||
| Sector | Physician | [sources] | |||
| Position | GYN/OBS (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 4160 Suisun Valley Rd., Ste. E, Fairfield, CA, 94534 · 4400 STARFLOWER CT, FAIRFIELD, CA 94534 · FAIRFIELD, CA 94534, USA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-medca-79ebe72186f529ec21f1593c5f4466da24fb3586 · us-fed-excl-donovan-paul-shively-94534-fairfield · us-medny-801e73c8e345633fc1401ff9814fde66b9cceac1For experts: raw data explorer
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| United States | HHS | Reciprocal | - |
| United States | New York State Office of the Medicaid Inspector General | - | - |
| United States | Department of Health Care Services | - | - |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |