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

Dr. John Carroll Shively, MD

Individual provider Occupational Medicine Physician · NPI 1770763153

Dr. John Carroll Shively, MD is an Occupational Medicine Physician in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3701 State Road 26 E
Lafayette, IN 47905-4808
Phone: (765) 448-5800
Fax: (765) 448-2032
Show map & directions

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

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 01032390A (IN)

Record details

NPI number1770763153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 14, 2007
Last updated in NPPESNovember 14, 2007

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