GRETA M. IVERS, MD, PLLC


Address: 1825 East Northern Avenue, Suite 125, Phoenix, AZ 85020
Phone: 6028594584

GRETA M. IVERS, MD, PLLC (NPI# 1386033199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386033199
Entity Type Organization
Organization Name GRETA M. IVERS, MD, PLLC
Practice Address 1825 East Northern Avenue
Suite 125
Phoenix
AZ 85020
Mailing Address 9550 East Thunderbird Road
Unit 247
Scottsdale
AZ 85260
Practice Telephone 6028594584
Mailing Telephone 6026205336
Enumeration Date 2015-01-16
Last Update Date 2015-02-24
Authorized Official Name DR. GRETA IVERS (OWNER)
Authorized Official Telephone 6026205336
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
47170 AZ Ambulatory Health Care Facilities

Office Location

Street Address 1825 EAST NORTHERN AVENUE
SUITE 125
City PHOENIX
State AZ
Zip Code 85020

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1104369495 Michelle Mastro Registered Nurse 1234 E. Northern Avenue, Phoenix, AZ 85020 2016-11-18
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City PHOENIX
Zip Code 85020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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