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MARC SHIVELY DO
NPI 1609661339
Student in an Organized Health Care Education/Training Program in Rapid City, SD

Active since April 12, 2025
502 E MONROE ST, RAPID CITY, SD 57701(605) 755-4060(605) 755-4012 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marc Shively Do NPPES

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

MARC SHIVELY DO (NPI 1609661339) is an individual student in an organized health care education/training program in Rapid City, South Dakota and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1609661339
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARC SHIVELYCredential: DO
Location Address502 E MONROE STRapid City, SD 57701-1400
Mailing Address502 E Monroe StRapid City, SD 57701-1400 · (605) 755-4060 · Fax (605) 755-4012
Phone(605) 755-4060
Fax(605) 755-4012
Sole ProprietorNo
Enumeration DateApril 12, 2025
NPPES CertifiedApril 12, 2025
✔ NPI 1609661339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
502 E MONROE ST, Rapid City, SD 57701
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Other Providers at the Same Location NPPES 20

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

SIERRA CONDO DO
Student in an Organized Health Care Education/Training Program
502 E MONROE ST
RAPID CITY, SD 57701
Meade County (605) 755-4060
RAPID CITY REGIONAL HOSPITAL INC
Family Medicine
502 E MONROE ST
RAPID CITY, SD 57701
Meade County (605) 719-4060
KATARINA SCHNEIDERMAN MD
Student in an Organized Health Care Education/Training Program
502 E MONROE ST
RAPID CITY, SD 57701
Meade County (605) 755-4042
JENNIFER CALLAHAN MD
Family Medicine
502 E MONROE ST
RAPID CITY, SD 57701
Meade County (605) 755-4060
BRYCE CHRISTEN COOLEY DO
Family Medicine
502 E MONROE ST
RAPID CITY, SD 57701
Meade County (605) 755-4060
GARETT JOHNSON
Student in an Organized Health Care Education/Training Program
502 E MONROE ST
RAPID CITY, SD 57701
Meade County (605) 755-4060
DR. KENNETH FULLER DO
Student in an Organized Health Care Education/Training Program
502 E MONROE ST
RAPID CITY, SD 57701
Meade County (605) 755-4060
ALYSSA MARIE ARMSBURY
Student in an Organized Health Care Education/Training Program
502 E MONROE ST
RAPID CITY, SD 57701
Meade County (605) 755-4060

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 Marc Shively's NPI number?

The NPI number for Marc Shively is 1609661339. It was assigned to this individual provider in the NPPES registry on April 12, 2025.

Where is Marc Shively located?

Marc Shively practices at 502 E Monroe St, Rapid City, SD 57701. The listed phone number is (605) 755-4060.

What is Marc Shively's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marc Shively was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.