Philip B Ivey (NPI# 1902801160, PAC ID# 0042108813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1902801160 |
| PAC ID by PECOS | 0042108813 |
| Professional Enrollment ID | I20040304001211 |
| Full Name | Philip B Ivey |
| Organization Legal Name | GILA RIVER HEALTH CARE CORPORATION |
| Address |
17487 S Health Care Dr Grhc/komatke Laveen AZ 85339-0038 |
| Phone Number | 5205506000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0648174185 |
| Number of Group Practice Members | 140 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031308 | HUHU KAM MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17487 S Health Care Dr, Grhc/komatke, Laveen, AZ 85339-0038 | 5205506000 | GILA RIVER HEALTH CARE CORPORATION |
| Organization Legal Name | GILA RIVER HEALTH CARE CORPORATION |
| Physicians | 115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natassia L Williamson | Nurse Practitioner | Gila River Health Care Corporation | 48203 W Farrell Rd, Grhc/ak Chin, Maricopa, AZ 85239-0038 |
| Carey J Baugh | Nurse Practitioner | Gila River Health Care Corporation | 17487 S Health Care Dr, Grhc/komatke, Laveen, AZ 85339-0038 |
| Ann M Doll | Certified Nurse Midwife (cnm) | Gila River Health Care Corporation | 483 W Seed Farm Rd, Grhc/hu Hu, Sacaton, AZ 85147-0038 |
| Monica A Lumpkin | Family Medicine | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Connie Gigous | Nurse Practitioner | Gila River Health Care Corporation | 291 W Casa Blanca Rd, Oasis, Sacaton, AZ 85147-0038 |
| Edward W Tierney | Podiatry | Gila River Health Care Corporation | 483 W Seed Farm Rd, New Beginnings Outpatient, Sacaton, AZ 85147-0038 |
| Melinda S Shelley | Nurse Practitioner | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Paul D Keller Jr. | Podiatry | Gila River Health Care Corporation | 291 W Casa Blanca Rd, Oasis, Sacaton, AZ 85147-0038 |
| John W Fiorino | Podiatry | Gila River Health Care Corporation | 483 W Seed Farm Rd, Grhc/hu Hu, Sacaton, AZ 85147-0038 |
| Sabine F Garrett-shorty | Nurse Practitioner | Gila River Health Care Corporation | 483 W Seed Farm Rd, Grhc/hu Hu, Sacaton, AZ 85147-0038 |
| Street Address |
17487 S HEALTH CARE DR GRHC/KOMATKE |
| City | LAVEEN |
| State | AZ |
| Zip | 85339-0038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carey J Baugh | Nurse Practitioner | Gila River Health Care Corporation | 17487 S Health Care Dr, Grhc/komatke, Laveen, AZ 85339-0038 |
| Douglas E Parkin | Internal Medicine | Gila River Health Care Corporation | 17487 S Health Care Dr, Grhc/komatke, Laveen, AZ 85339-0038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George A Davidson | Obstetrics/gynecology | Palm Valley Womens Care Plc | 4020 W Baseline Rd, C103, Laveen, AZ 85339 |
| Delana Gardner | Nurse Practitioner | 4822 W Darrel Rd, Laveen, AZ 85339-1995 | |
| Joel Philip Betz | Emergency Medicine | National Medical Professionals of Arizona LLC | 7171 E 51st Ave, Laveen, AZ 85339-2923 |
| Gillian E Munitz | Emergency Medicine | National Medical Professionals of Arizona LLC | 7171 E 51st Ave, Laveen, AZ 85339-2923 |
| Jason B Daniels | Emergency Medicine | National Medical Professionals of Arizona LLC | 7171 E 51st Ave, Laveen, AZ 85339-2923 |
| Luis M Esparza | Emergency Medicine | National Medical Professionals of Arizona LLC | 7171 E 51st Ave, Laveen, AZ 85339-2923 |
| Drew J Paulson | Emergency Medicine | National Medical Professionals of Arizona LLC | 7171 E 51st Ave, Laveen, AZ 85339-2923 |
| Donald W Runyan | Family Medicine | National Medical Professionals of Arizona LLC | 7171 E 51st Ave, Laveen, AZ 85339-2923 |
| Aaron C Mckinney | Emergency Medicine | National Medical Professionals of Arizona LLC | 7171 E 51st Ave, Laveen, AZ 85339-2923 |
| Hillary P Seematter | Emergency Medicine | National Medical Professionals of Arizona LLC | 7171 E 51st Ave, Laveen, AZ 85339-2923 |
| Find all physicians in zip 85339 | |||
| City | LAVEEN |
| Zip Code | 85339 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LAVEEN + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.