Mary Ivey MD, PLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301074849 Issued in MI

Legal business name

MARY IVEY MD, PLC

Practice address

1293 E Parkdale Ave
Suite 1200a
Manistee, MI 49660-8904

Phone

(231) 398-0222

Fax

(231) 398-0225

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mary A Ivey, M.D.

Title

Ceo

Phone

(231) 398-0222

Specialties & licenses 1

Addresses

Other names 1

• Obstetrics and Gynecology of Manistee Doing business as

Locations

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1891970505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 E PARKDALE AVE",
            "address_2": "SUITE 1200A",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496608904",
            "telephone_number": "231-398-0222",
            "fax_number": "231-398-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 E PARKDALE AVE",
            "address_2": "SUITE 1200A",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496608904",
            "telephone_number": "231-398-0222",
            "fax_number": "231-398-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IVEY MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-398-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301074849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obstetrics and Gynecology of Manistee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Jean Mansfield, BSW
• Kimberly A Markham, RPH
• Mary E Martin
• Derrick Martinez, LMSW
• Julie Martz
• Amanda Kaye Mast, FNP-C
• Robert I Mattice, DDA
• Sylivia Mauntler
• Jessica Kay Mays, MSW
• Brenda Jean McCann, AUDCCCA

• Obstetrics & Gynecology Physician in Manistee, MI
• Providers in Manistee, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.