NPI 1417977471

Joseph J Ivy, MD

Practitioner Gynecologic Oncology Physician Bentonville, AR

Practice location

Address: 3101 SE 14th St, Bentonville, AR 72712-4900
Phone: (479) 338-6377
Fax: (479) 338-6378
Mailing address: PO Box 776084, Chicago, IL 60677-6084

Registered specialties (2)

Gynecologic Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VX0201X Licence E-6436 (AR)

Other Obstetrics & Gynecology providers in Arkansas →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 025078 (LA)

Registry record

NPI: 1417977471
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2006
Record last updated: 10 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.