Individual
DR. STEPHEN RICHARD SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 MEMORIAL SQ STE 2100, GREENFIELD, IN 46140-1380
(317) 477-6683
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0102207029
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
02007116A
IN
Other
Enumeration date
03/03/2017
Last updated
07/23/2025
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