Organization Active NPI

US Gynecologic Oncology Associates, PLLC

  • Obstetrics & Gynecology Physician
  • Springdale, AR
National Provider Identifier
1689986606
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E6436 Issued in AR
Legal business name
US GYNECOLOGIC ONCOLOGY ASSOCIATES, PLLC
Practice address
5501 Willow Creek Dr
Suite 202
Springdale, AR 72762-8704
Phone
(479) 443-4500
Fax
(479) 443-4502
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Joseph Ivy, M.D.
Title
Owner
Phone
(479) 443-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X E6436 AR Primary

Addresses

Primary practice location

5501 Willow Creek Dr
Suite 202
Springdale, AR 72762-8704

Mailing address

5501 Willow Creek Dr
Suite 202
Springdale, AR 72762-8704
Phone (479) 443-4500

Other names 1

  • Ivy Women's Cancer Care Doing business as

National Provider Directory

National Provider Directory

Locations

5501 Willow Creek Dr
Ste 202
Springdale, AR 72762
Phone (479) 249-6905

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1689986606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 202",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704",
            "telephone_number": "479-443-4500",
            "fax_number": "479-443-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 202",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704",
            "telephone_number": "479-443-4500",
            "fax_number": "479-443-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US GYNECOLOGIC ONCOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-443-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E6436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Women's Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.