Dr. James Lyman Shively
Orthopaedic Trauma Surgeon Pediatric Orthopaedic Surgeon
747 52nd St
Oakland
, California 94609-1809
Dr. James Lyman Shively
Orthopaedic Trauma Surgeon Pediatric Orthopaedic Surgeon
747 52nd St
Oakland
, California 94609-1809
(510) 428-3000
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
- Orthopaedic Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. James Lyman Shively
- 747-Fifty Second Street Children's Hospital
- Oakland, CA
- Zip : 94609-1809
- Phone : (510) 428-3000
Second Address
- Dr. James Lyman Shively
- 747 52nd St
- Oakland, CA
- Zip : 94609-1809
- Phone : (510) 428-3000
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Is Dr. James Lyman Shively a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | G28828 | CA |
| N | 207XX0801X | Orthopaedic Trauma Surgeon | G28828 | CA |
National Provider Identifier
| NPI | 1043518095 |
|---|---|
| Provider Name | Dr. James Lyman Shively |
| First Address | Oakland, CA 94609-1809 |
| Second Address | Oakland, CA 94609-1809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2011 |
| Last Update Date | 05/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.