Michael Ivchenko, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

15906 Issued in AZ

Practice address

2501 E Southern Ave
Ste 14
Tempe, AZ 85282

Phone

(480) 730-3331

Fax

(480) 730-6340

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326014150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E SOUTHERN AVE",
            "address_2": "STE 14",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-730-3331",
            "fax_number": "480-730-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E SOUTHERN AVE",
            "address_2": "STE 14",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-730-3331",
            "fax_number": "480-730-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVCHENKO",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "15906",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35049133",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G57457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292384",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna M Ison, DSW, LCSW
• Michael Israel
• It'S All About You Behavioral Health LLC
• Itech Consulting Partners LLC
• Dustin Brant Ivanic, FNP-C
• Lia Iverson-Tuter, PT, DPT
• Mary Colleen Iverson, SLPA
• Kaitlyn Ives, AU.D.
• Ivy Wellness Services, LLC
• Kayla Iwanier, SLP

• Obstetrics & Gynecology Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.