Provider Demographics
NPI:1750388401
Name:MCGEE, IVY V (MD)
Entity type:Individual
Prefix:DR
First Name:IVY
Middle Name:V
Last Name:MCGEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:IVY
Other - Middle Name:V
Other - Last Name:MCGEE REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2200 FORT ROOTS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-1709
Mailing Address - Country:US
Mailing Address - Phone:501-257-3934
Mailing Address - Fax:501-257-2026
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-3934
Practice Address - Fax:501-257-2026
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-2401207Q00000X
ARE2401207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR143913001Medicaid
AR1750388401Medicaid
AR1750388401Medicaid
H37753Medicare UPIN