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Ivan Reveron, M.D.
NPI 1750393781 · Family Medicine Physician · Spokane, WA
Ivan Reveron, M.D. is a Family Medicine Physician provider in Spokane, WA (NPI 1750393781).
Provider details
- NPI number
- 1750393781
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD60063800 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5901 N Lidgerwood St Ste 126
Spokane, WA 99208-1122
Phone: (509) 434-1990
Fax: (509) 340-8986
Street-level locationGet directions
Mailing address
203 N Washington St Ste 300
Spokane, WA 99201-0233
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2012-07-26
Frequently asked questions
- What is Ivan Reveron's NPI number?
- Ivan Reveron's National Provider Identifier (NPI) is 1750393781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Reveron's specialty?
- Ivan Reveron is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ivan Reveron located?
- Ivan Reveron's practice location on file with NPPES is 5901 N Lidgerwood St Ste 126, Spokane, WA 99208-1122.
- What is Ivan Reveron's phone number?
- The practice phone number listed in the NPPES registry for Ivan Reveron is (509) 434-1990.
- Is Ivan Reveron's NPI active?
- Yes — Ivan Reveron's NPI (1750393781) is active in the NPPES registry as of the last update on 2012-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.