Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Travis Ivan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528695533

Michael Travis Ivan, DO is a Family Practice in Ogden, Utah. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2020, 6 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4403 Harrison Blvd Ste 700A
Ogden, UT 84403-3295
Phone: (801) 387-5300
Fax: (801) 387-5333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12382175-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528695533
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address1149 23rd St, Ogden, UT 84401-1906

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2020 (6 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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