Traci L Ivey (NPI# 1831157858, PAC ID# 8325006646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831157858 |
| PAC ID by PECOS | 8325006646 |
| Professional Enrollment ID | I20050103000497 |
| Full Name | Traci L Ivey |
| Address |
2905 S Walton Blvd Suite 17 Bentonville AR 72712-7848 |
| Phone Number | 4796576501 |
| Gender | F |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040010 | MERCY HOSPITAL NORTHWEST ARKANSAS |
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| Address | Phone | Organization |
|---|---|---|
| 2905 S Walton Blvd, Suite 17, Bentonville, AR 72712-7848 | 4796576501 |
| Street Address |
2905 S WALTON BLVD SUITE 17 |
| City | BENTONVILLE |
| State | AR |
| Zip | 72712-7848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Campbell | Nurse Practitioner | Pain Treatment Centers of America Pllc | 1502 Se 28th St, Suite 8, Bentonville, AR 72712-0076 |
| Dorothy L Mellon | Otolaryngology | 1502 Se 28th St, Suite 6, Bentonville, AR 72712-0076 | |
| Christian C Robertozzi | Physical Therapy | Bentonville Physical Therapy Specialists | 907 Se Village Loop, Suite 5, Bentonville, AR 72712-2229 |
| Kara Jackson | Physical Therapy | Bentonville Physical Therapy Specialists | 907 Se Village Loop, Suite 5, Bentonville, AR 72712-2229 |
| Lisa A Bearden | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Amy Deanne Sarver | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Amber J Sills | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Eric B. Santos | Chiropractic | 1706 Se Walton Blvd, Suite 6, Bentonville, AR 72712-3201 | |
| Valerie Bedwell | Nurse Practitioner | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Kelsey Danielle Gilley | Certified Nurse Midwife (cnm) | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Find all physicians in zip 72712 | |||
| City | BENTONVILLE |
| Zip Code | 72712 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BENTONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Traci L Ivey.
| 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.