Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Marie Shively

Individual provider Physician Assistant · NPI 1457992331

Amy Marie Shively is a Physician Assistant in Cincinnati, Ohio. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone: (248) 872-2151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2538 — (616) 486-9600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009605 (MI)

Record details

NPI number1457992331
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2019
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

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