Dr. Joseph J Ivy
Obstetrician & Gynecologist Gynecologic Oncologist
808 S 52nd St
Rogers
, Arkansas 72758-8602
Dr. Joseph J Ivy
Obstetrician & Gynecologist Gynecologic Oncologist
808 S 52nd St
Rogers
, Arkansas 72758-8602
(479) 587-1366
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Joseph J Ivy
- 3232 N Northhills Blvd
- Fayetteville, AR
- Zip : 72703-4005
- Fax : (479) 587-1366
- Phone : (479) 587-1700
Second Address
- Dr. Joseph J Ivy
- 808 S 52nd St
- Rogers, AR
- Zip : 72758-8602
- Fax : (479) 443-4502
- Phone : (479) 443-4500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 025078 | LA |
| Y | 207VX0201X | Gynecologic Oncologist | E-6436 | AR |
National Provider Identifier
| NPI | 1417977471 |
|---|---|
| Provider Name | Dr. Joseph J Ivy |
| First Address | Fayetteville, AR 72703-4005 |
| Second Address | Rogers, AR 72758-8602 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 30/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1423149 | (05) | LA |
| 1689986606 | (05) | MO |
| 185252001 | (05) | AR |
| 200471960A | (05) | OK |
| H72265 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.