Active NPI
Ian James McIver, DO
- Aerospace Medicine Physician
- Wright Patterson Afb, OH
National Provider Identifier
1427468552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 1551
- Practice address
- 4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529 - Phone
- (937) 938-3915
- NPI assigned
- Apr 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 1551 | AL | |
| Aerospace Medicine Physician | 2083A0100X | 1551 | AL | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Mailing address
2624 Q Street
BLGD 851, Area B
Wright-Patterson Afb, OH 45433-7955
Phone (765) 749-6738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1427468552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 Q STREET",
"address_2": "BLGD 851, AREA B",
"city": "WRIGHT-PATTERSON AFB",
"state": "OH",
"postal_code": "454337955",
"telephone_number": "765-749-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "454335529",
"telephone_number": "937-938-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCIVER",
"first_name": "IAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-29",
"last_updated": "2024-11-22",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AL",
"license": "1551",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "AL",
"license": "1551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wright Patterson Afb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.