Individual
DR. ROBERT EUGENE IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
827 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5001
(865) 558-4400
(865) 984-1035
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 934-3329
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD25431
TN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
25431
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011201
TENNCARE
TN
01
—
200029919
RAILROAD MEDICARE
TN
01
—
3071387
BLUE CROSS BLUE SHIELD
TN
05
—
3082715
—
TN
01
—
360843
UNITED HEALTH CARE
TN
01
—
4478561
AETNA
TN
01
—
TN0117
JOHN DEERE HEALTHCARE
TN
01
—
TN0149
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/07/2006
Last updated
03/30/2026
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