Mark Ivey Jr Md Pc

LBN: Mark Ivey Jr Md Pc
Mark Ivey Jr Md Pc is an health care organization with primary practice located at 1106 N Beeline Hwy , Payson AZ 85541-3714. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mark Ivey Jr Md Pc can be contacted via phone (928) 474-8901, or through Ivey, Mark via phone (928) 474-8901.

Contact Information

Primary practice address
1106 N Beeline Hwy Payson AZ 85541-3714
Phone: (928) 474-8901
Fax: (928) 474-8947
Website:
Map and Directions
Authorized official contact:
Name: Ivey, Mark Doctor of Medicine (MD)
Phone: (928) 474-8901

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10659 Arizona

Profile Details

NPI number 1497813141
LBN Legal business name Mark Ivey Jr Md Pc
DBA Doing business as
Authorized official Ivey, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497813141 NPPES
Arizona MEDICAID 245341

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