Individual
DR. JOSEPH J IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 338-6377
(479) 338-6378
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 338-6377
(479) 338-6378
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
025078
LA
207VX0201X
Gynecologic Oncology Physician
Primary
E-6436
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1423149
—
LA
05
—
1689986606
—
MO
05
—
185252001
—
AR
05
—
200471960A
—
OK
Enumeration date
07/20/2006
Last updated
03/10/2026
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