Ivan A Pivovarov (NPI# 1467662148, PAC ID# 4385712413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1467662148 |
| PAC ID by PECOS | 4385712413 |
| Professional Enrollment ID | I20081002000479 |
| Full Name | Ivan A Pivovarov |
| Organization Legal Name | VALLEY INTERNAL MEDICINE |
| Address |
2208 Danville Rd S W Suite A Decatur AL 35601-4603 |
| Phone Number | 2563019994111 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8527385467 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2208 Danville Rd S W, Suite A, Decatur, AL 35601-4603 | 2563019994111 | VALLEY INTERNAL MEDICINE |
| Organization Legal Name | VALLEY INTERNAL MEDICINE |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shashanna Ndong | Internal Medicine | Valley Internal Medicine | 710 W Hobbs St, Athens, AL 35611-1508 |
| John E Willis | Nurse Practitioner | Valley Internal Medicine | 2208 Danville Rd S W, Suite A, Decatur, AL 35601-4603 |
| Martha Ralls Read | Family Medicine | Valley Internal Medicine | 2208 Danville Rd S W, Suite A, Decatur, AL 35601-4603 |
| Pauline A Lett-anderson | Internal Medicine | Valley Internal Medicine | 22454 Us Hwy 72, Suite 330, Athens, AL 35613-2609 |
| Maria Czarina Onoya | Internal Medicine | Valley Internal Medicine | 22454 Us Hwy 72, Suite 330, Athens, AL 35613-2609 |
| Jennifer Jo Beatty | Nurse Practitioner | Valley Internal Medicine | 2208 Danville Rd S W, Suite A, Decatur, AL 35601-4603 |
| Street Address |
2208 DANVILLE RD S W SUITE A |
| City | DECATUR |
| State | AL |
| Zip | 35601-4603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Willis | Nurse Practitioner | Valley Internal Medicine | 2208 Danville Rd S W, Suite A, Decatur, AL 35601-4603 |
| Martha Ralls Read | Family Medicine | Valley Internal Medicine | 2208 Danville Rd S W, Suite A, Decatur, AL 35601-4603 |
| Jennifer Jo Beatty | Nurse Practitioner | Valley Internal Medicine | 2208 Danville Rd S W, Suite A, Decatur, AL 35601-4603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hugh C Nabers | General Surgery | 1215 7 Th St Se, Suite 190, Decatur, AL 35601 | |
| David A Lang | Chiropractic | 2314 6th Ave Se, Suite C, Decatur, GA 35601 | |
| Katherine Wilson | Nurse Practitioner | Alabama Bariatrics and Minimally Invasive Surgery PC | 705 Bank St Ne, Decatur, AL 35601-1609 |
| William J Suggs | General Surgery | Alabama Bariatrics and Minimally Invasive Surgery PC | 705 Bank St Ne, Decatur, AL 35601-1609 |
| Jere H Weaver | Dermatology | 802 Bank St Ne, Decatur, AL 35601-1612 | |
| Sammy F Becdach | Hematology/oncology | Oncology Specialties, P.C. | 310 8th Ave Ne, Decatur, AL 35601-2420 |
| Samantha Wyatt | Dermatology | 620 Walnut St Ne, Suite A, Decatur, AL 35601-2456 | |
| Sherri L Cohen | Clinical Social Worker | 255 Grant St Se, Suite 303, Decatur, AL 35601-2505 | |
| Lesley W Smothers | Physical Therapy | Peak Physical Therapy and Wellness | 216 Johnston St Se, Decatur, AL 35601-2516 |
| Lisa L Gault | Physical Therapy | Peak Physical Therapy and Wellness | 216 Johnston St Se, Decatur, AL 35601-2516 |
| Find all physicians in zip 35601 | |||
| City | DECATUR |
| Zip Code | 35601 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | DECATUR + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Ivan A Pivovarov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.