Ivan J Reveron (NPI# 1750393781, PAC ID# 6002066651) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750393781 |
| PAC ID by PECOS | 6002066651 |
| Professional Enrollment ID | I20121017000540 |
| Full Name | Ivan J Reveron |
| Organization Legal Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Address |
515 W Main St Elma WA 98541-9285 |
| Phone Number | 3608618700 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7315831161 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501304 | SUMMIT PACIFIC MEDICAL CENTER-SWING BED UNIT |
| 500031 | GRAYS HARBOR COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 515 W Main St, Elma, WA 98541-9285 | 3608618700 | SEA-MAR COMMUNITY HEALTH CENTER |
| Organization Legal Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie E Tyndall | Registered Dietitian Or Nutrition Professional | Sea-mar Community Health Center | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 |
| Bjorn Jacobson | Family Medicine | Sea-mar Community Health Center | 19005 Se 34th St, Bldg 3, Vancouver, WA 98683-1450 |
| Cecilia Christensen | Physician Assistant | Sea-mar Community Health Center | 10217 125th St Ct E, Puyallup, WA 98374-2761 |
| Juliana Oliveira | Family Medicine | Sea-mar Community Health Center | 9710 State Ave, Marysville, WA 98270-2280 |
| Eric Alfred Simmons | Psychiatry | Sea-mar Community Health Center | 1112 S Cushman Ave, Tacoma, WA 98405-3631 |
| Carol L Opheikens | Nurse Practitioner | Sea-mar Community Health Center | 6100 Ne 4th Plain Blvd, Vancouver, WA 98661-6830 |
| Sheree Harvey | Nurse Practitioner | Sea-mar Community Health Center | 8720 14th Ave S, Sea Mar Chc Seattle, Seattle, WA 98108-4807 |
| Evan Sidney Teplow | Family Medicine | Sea-mar Community Health Center | 17707 W Main St, Monroe, WA 98272-1967 |
| Lindsey Parden | Nurse Practitioner | Sea-mar Community Health Center | 1920 100th St Se, Everett, WA 98208-3832 |
| Vanessa Feliciano | Family Medicine | Sea-mar Community Health Center | 9650 15th Ave Sw, Seattle, WA 98106-2820 |
| Street Address |
515 W MAIN ST |
| City | ELMA |
| State | WA |
| Zip | 98541-9285 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha Jeanne Snyder | Nurse Practitioner | Willis Senior Housecalls Pllc | 515 W Main St, Suite 115, Allen, TX 75013-8057 |
| Massoud Motamed | Chiropractic | 515 W Main St, Mt Olive, NC 28365-1903 | |
| David L Willis | Nurse Practitioner | Willis Senior Housecalls Pllc | 515 W Main St, Suite 115, Allen, TX 75013-8057 |
| Julie R Gruben | Chiropractic | 515 W Main St, Suite 101, Allen, TX 75013-8020 | |
| Julie Anne Kuennen | Nurse Practitioner | Willis Senior Housecalls Pllc | 515 W Main St, Suite 115, Allen, TX 75013-8057 |
| Tiffany J Christensen | Chiropractic | 515 W Main St, 3 Riverview Chiropractic, Cherokee, IA 51012-1786 | |
| Aris N Jacob | Endocrinology | Aris N Jacob Md Pa | 515 W Main St, Allen, TX 75013-8057 |
| Natasha T Bonner | Chiropractic | Natasha T Bonner Dc Pllc | 515 W Main St, Allen, TX 75013-8020 |
| Katherine N Jacob | Endocrinology | Aris N Jacob Md Pa | 515 W Main St, Suite 115, Allen, TX 75013-8057 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerry G Peterson | Nurse Practitioner | 106 N 1st St, Elma, WA 98541 | |
| Matthew S Peterson | Chiropractic | 103 N 1st St, Elma, WA 98541 | |
| Kenneth W Mcelroy | Physician Assistant | 11 Schouweiler Rd, Elma, WA 98541-9306 | |
| Brian Martyn Lear | Family Medicine | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Amy B Graham | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Kaylyn Wayman | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Mary Ellen Biggerstaff | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Belinda Lear | Family Medicine | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Rebecca M Bodle-shingu | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Bonnie J Mcreynolds | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Find all physicians in zip 98541 | |||
| City | ELMA |
| Zip Code | 98541 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELMA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ivan J Reveron.
| 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.