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NPI Code Detail

MEDICARE: DR. ROBERT EUGENE IVY M.D,

MEDICARE: DR. ROBERT EUGENE IVY M.D,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery Physician25431TN
2207X00000XOrthopaedic Surgery PhysicianMD25431TN

General Provider Information

NPI Number : 1699742858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT EUGENE IVY M.D,
Provider Business Mailing Address
First Line : 918 NAVAHO RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-7669
Country : US
Telephone Number : 865-216-4609
Fax Number :
Provider Business Practice Location Address
First Line : 1422 OLD WEISGARBER RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-1293
Country : US
Telephone Number : 865-558-4400
Fax Number : 865-558-4471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 03/04/2026

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