Greta Ivers (NPI# 1104911189, PAC ID# 0143214056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1104911189 |
| PAC ID by PECOS | 0143214056 |
| Professional Enrollment ID | I20170116000583 |
| Full Name | Greta Ivers |
| Organization Legal Name | BAY CLINIC, INC. |
| Address |
16 -192 Pili Mua St Keaau HI 96749-8134 |
| Phone Number | 8089300040 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5890699037 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 121301 | KAU HOSPITAL |
| 120005 | HILO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16 -192 Pili Mua St, Keaau, HI 96749-8134 | 8089300040 | BAY CLINIC, INC. |
| 95-5583 Mamalahoa Hwy, Naalehu, HI 96772-8900 | 8089297311 | BAY CLINIC, INC. |
| Organization Legal Name | BAY CLINIC, INC. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peggy S Oneal | Nurse Practitioner | Bay Clinic, Inc. | 73 Puuhonu Pl, Hilo, HI 96720-2060 |
| Rochelle R Owens | Family Practice | Bay Clinic, Inc. | 95-5583 Mamalahoa Hwy, Naalehu, HI 96772-8900 |
| Kelly L Luscomb | Nurse Practitioner | Bay Clinic, Inc. | 1178 Kinoole St, Hilo, HI 96720-7206 |
| Dawn S Stone-webb | Clinical Social Worker | Bay Clinic, Inc. | 16 -192 Pili Mua St, Keaau, HI 96749-8134 |
| Cheryl A Zorn | Nurse Practitioner | Bay Clinic, Inc. | 15 -2866 Pahoa Village Rd, Bldg C, Pahoa, HI 96778-7720 |
| Ninu Alexandri Quirk | Family Medicine | Bay Clinic, Inc. | 1178 Kinoole St, Hilo, HI 96720-7206 |
| Kyle S Fuhriman | Nurse Practitioner | Bay Clinic, Inc. | 1178 Kinoole St, Hilo, HI 96720-7206 |
| James Michael Vigorito | Psychologist, Clinical | Bay Clinic, Inc. | 15 -2866 Pahoa Village Rd, Pahoa, HI 96778-7720 |
| Kareem H Khozaim | Obstetrics/gynecology | Bay Clinic, Inc. | 73 Puuhonu Pl, Hilo, HI 96720-2060 |
| Shauna Paylor | Family Medicine | Bay Clinic, Inc. | 1178 Kinoole St, Hilo, HI 96720-7206 |
| Street Address |
16 -192 PILI MUA ST |
| City | KEAAU |
| State | HI |
| Zip | 96749-8134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn S Stone-webb | Clinical Social Worker | Bay Clinic, Inc. | 16 -192 Pili Mua St, Keaau, HI 96749-8134 |
| John R Engle | Family Medicine | Bay Clinic, Inc. | 16 -192 Pili Mua St, Keaau, HI 96749-8134 |
| Terri S Helbling | Nurse Practitioner | Bay Clinic, Inc. | 16 -192 Pili Mua St, Keaau, HI 96749-8134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Grune | Nurse Practitioner | 16 -590 Volcano Road A, Keaau, HI 96749 | |
| Ruth Cressman Boyd | Clinical Social Worker | 15 -1791, Keaau, HI 96749-7116 | |
| Cecilia M Shikuma | Infectious Disease | University Clinical Education and Research Associates | 16 -204 Melekahiwa Pl, Suite 1, Keaau, HI 96749-8010 |
| City | KEAAU |
| Zip Code | 96749 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | KEAAU + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Greta Ivers.
| 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.