DR. PHILIP BRUCE IVEY (NPI# 1902801160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902801160 |
| Entity Type | Individual |
| Full Name | DR. PHILIP BRUCE IVEY |
| Credential | M. D. |
| Practice Address |
483 W. Seed Farm Rd. Sacaton AZ 85147-0038 |
| Mailing Address |
P.o. Box 38 Sacaton AZ 85147-0038 |
| Practice Telephone | 6025281200 |
| Practice Fax Number | 6025281255 |
| Mailing Telephone | 6025281200 |
| Mailing Fax Number | 6025281255 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2017-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 27066 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 449183 | 05 |
| Street Address |
483 W. SEED FARM RD. |
| City | SACATON |
| State | AZ |
| Zip Code | 85147-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941867 | Ronald Eugene Morehouse | Physician Assistant | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2005-06-10 |
| 1154808780 | Brady Glenn Lybbert | Dentist | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2018-07-26 |
| 1598257248 | Corinne C Ciuris | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85043 | 2018-05-30 |
| 1598256398 | Phil Armando Sanchez | Social Worker | 483 W. Seed Farm Rd., Icm - Behavioral Health, Sacaton, AZ 85147 | 2018-05-29 |
| 1710414503 | Vicki Stevenson | Social Worker | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-05-11 |
| 1124569892 | Dustin Akina | Physical Therapist | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-03-15 |
| 1346791571 | Emily Perkins | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-10-24 |
| 1861852329 | Christine Waite | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-02-26 |
| 1912366980 | Rosalinda Sigarroba | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-18 |
| 1447619523 | Manny Athans | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730164054 | Noel D. Habib | Obstetrics & Gynecology | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724477 | Lilac Healthcare LLC | Obstetrics & Gynecology | 655 S Dobson Rd Ste A101, Chandler, AZ 85224-5675 | 2019-11-15 |
| 1619538907 | Marchand Obgyn and Partners Pllc | Obstetrics & Gynecology | 10238 E Hampton Ave Ste 212b, Mesa, AZ 85209-3316 | 2019-06-26 |
| 1215594809 | Deleonguerrero Obgyn, Pllc | Obstetrics & Gynecology | 1100 N. San Francisco St, Ste B, Flagstaff, AZ 86001-3200 | 2019-05-20 |
| 1902378342 | Rmercadomd, LLC | Obstetrics & Gynecology | 1500 North Wilmot Road, #c-260, Tucson, AZ 85712-4416 | 2018-12-26 |
| 1851863591 | William Quesenberry | Obstetrics & Gynecology | 85 Evergreen Dr, Sedona, AZ 86336-3043 | 2018-12-19 |
| 1982173779 | Kathryn Diana Kenton Kohler | Obstetrics & Gynecology | 767 E Canyon Rock Rd, Green Valley, AZ 85614-5246 | 2018-11-21 |
| 1003313362 | Womens Health Palace Pllc | Obstetrics & Gynecology | 1491 N Arizona Blvd Ste 110, Coolidge, AZ 85128-3261 | 2018-04-12 |
| 1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
| 1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
| 1497295836 | Jei Holdings, LLC | Obstetrics & Gynecology | 9377 E Bell Rd Ste 313, Scottsdale, AZ 85260-1504 | 2017-03-05 |
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| 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.