Greta M. Ivers, MD, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

47170 Issued in AZ

Legal business name

GRETA M. IVERS, MD, PLLC

Practice address

1825 East Northern Avenue
Suite 125
Phoenix, AZ 85020

Phone

(602) 859-4584

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Greta Ivers, MD

Title

Owner

Phone

(602) 620-5336

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1386033199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 EAST THUNDERBIRD ROAD",
            "address_2": "UNIT 247",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "602-620-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EAST NORTHERN AVENUE",
            "address_2": "SUITE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-859-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETA M. IVERS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "IVERS",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-620-5336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "47170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Louis Grenier, DO
• Ericka Gresham
• Michelle Maureen Gresko, R.N.,B.S.N.
• Jenna Lyn Gress Smith
• Leigh Adell Gressley, MSN/FNP-BC
• Lesley Greven, REGISTERED NURSE
• Hardeep S Grewal, MD
• Hermanpreet Grewal, MSW
• Kulbir Singh Grewal
• Kushmit Singh Grewal, M.D.

• Health Service Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.