Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366869208 Individual Practitioner Female Practitioner

Dr. Elizabeth S Stivers , MD

Pediatrics • Leitchfield, KY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Stivers, MD is a registered healthcare professional specializing in Pediatrics in Leitchfield, KY. Official NPI practice address is registered at 908 WALLACE AVE.

Practice Location & Contact Primary Location

Practice Address

908 Wallace Ave
Suite 108

Leitchfield, KY 427541479

Telephone 2702595641
Fax 2702595309
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Leitchfield, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Leitchfield, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 50135

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100360200 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1023159704

Master of Science, Physician Assistant (Certified)

Laura Hunt , APRN

Nurse Practitioner - Pediatrics

NPI 1407527088

Advanced Practice Registered Nurse

NPI 1568409506

Doctor of Medicine (M.D.)

NPI 1891372314

Doctor of Osteopathic Medicine (D.O.)

NPI 1912486887

Advanced Practice Registered Nurse

Crystal Burden , APRN

Nurse Practitioner - Pediatrics

NPI 1942972617

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 908 WALLACE AVE, SUITE 108, LEITCHFIELD, KY 427541479 (Tel: 2702595641)

📍
Updated Business Mailing Address May 11, 2017

Registered at 908 WALLACE AVE, SUITE 108, LEITCHFIELD, KY 427541479 (Tel: 2702595641)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as ELIZABETH STIVERS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Pediatrics (License #50135 in KY)

📍
Updated Practice Location March 08, 2017

Registered at 908 WALLACE AVE, SUITE 108, LEITCHFIELD, KY 427541479 (Tel: 2702595641)

📍
Updated Business Mailing Address March 08, 2017

Registered at 908 WALLACE AVE, SUITE 108, LEITCHFIELD, KY 427541479 (Tel: 2702595641)

👤
Provider Name / Credentials Updated March 08, 2017

Recorded as ELIZABETH STIVERS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Pediatrics (License #TP668 in KY)

NPI Profile Active March 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2014

Registered at 571 S FLOYD ST, SUITE 412, LOUISVILLE, KY 402023818 (Tel: 5026298828)

📍
Updated Business Mailing Address March 27, 2014

Registered at 571 S FLOYD ST, SUITE 412, LOUISVILLE, KY 402023818 (Tel: 5026298828)

👤
Provider Name / Credentials Updated March 27, 2014

Recorded as ELIZABETH STIVERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 27, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366869208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2014
Last Update: May 11, 2017
Sole Proprietor: No

Mailing Address

908 Wallace Ave, Suite 108

Leitchfield, KY 427541479

Phone: 2702595641

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.