Active NPI
US Gynecologic Oncology Associates, PLLC
- Obstetrics & Gynecology Physician
- Springdale, AR
National Provider Identifier
1689986606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- E6436
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.