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CHARLES A LIVELY MD PA
NPI 1437363926
Obstetrics & Gynecology - Obstetrics in Odessa, TX

Active since May 10, 2007
608 N MUSKINGUM AVE, ODESSA, TX 79761(432) 580-9168(432) 580-8221 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Dec 15, 2020 (2 updates tracked since 2020).

About Charles A Lively Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES A LIVELY MD PA (NPI 1437363926) is a healthcare organization registered as an obstetrics in Odessa, Texas and active in the NPI registry since May 2007. The organization lists Charles A Lively, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1437363926
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameCHARLES A LIVELY MD PA
Location Address608 N MUSKINGUM AVEOdessa, TX 79761-4539
Mailing Address608 N Muskingum AveOdessa, TX 79761-4539 · (432) 580-9168 · Fax (432) 580-8221
Phone(432) 580-9168
Fax(432) 580-8221
Organization SubpartNo
Authorized OfficialCharles A LivelyOwner Physician · (432) 580-9168
Enumeration DateMay 10, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1437363926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in TX · H6384
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
608 N MUSKINGUM AVE, Odessa, TX 79761
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Other Identifiers 3

Medicaid123169807TX
OtherH6384TX · H6384
Other50072573TX · Dps

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CRYSELDA ANN RUSSELL FNP-C
Nurse Practitioner (Family)
608 N MUSKINGUM AVE
ODESSA, TX 79761
Ector County (432) 580-9168
DR. CHARLES AUBORN LIVELY M.D.
Obstetrics & Gynecology
608 N MUSKINGUM AVE
ODESSA, TX 79761
Ector County (432) 580-9168
TESS NIX APRN, FNP-BC
Nurse Practitioner (Family)
608 N MUSKINGUM AVE
ODESSA, TX 79761
Ector County (432) 580-9168

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles A Lively MD PA's NPI number?

The NPI number for Charles A Lively MD PA is 1437363926. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Charles A Lively MD PA located?

Charles A Lively MD PA is located at 608 N Muskingum Ave, Odessa, TX 79761. The listed phone number is (432) 580-9168.

What is Charles A Lively MD PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

When was this NPI record last updated?

The NPPES record for Charles A Lively MD PA was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.