Ronald W Divine, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

36719 Issued in AZ

Practice address

3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5649

Phone

(480) 425-5000

NPI assigned

May 4, 2006

Last updated

Feb 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 63)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology

  Medicare reassignment NPD
• Advanced Medical Imaging Center LLC

  dba Southwest Imaging Centers

  • Diagnostic Radiology Physician
  • Vancouver, WA
  • NPI 1114008737
  NPD (past)
• River Radiologists, PC

  • Diagnostic Radiology Physician
  • Oregon City, OR
  • NPI 1730138736
  NPD (past)
• The Oregon Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Portland, OR
  • NPI 1346105129
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1184672024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2156",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392156",
            "telephone_number": "541-758-5047",
            "fax_number": "541-758-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515649",
            "telephone_number": "480-425-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Division St",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970451527",
            "country_code": "US",
            "telephone_number": "503-723-6545",
            "fax_number": "503-650-6824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVINE",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "21536",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "36719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102232",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138138",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ditare, Inc (Therapy Rehabilitation Services, Inc)
• Dustin J Ditmore
• Catherine Ditroia, M.S., CCC-SLP
• Natalie Ditullio, LCSW
• Diversified Medical Solutions
• Enrico E. Divito, D.D.S., P.C.
• Roberto E Divito, DDS
• Caroline Dixon
• Chyllia Dixon, PMHNP
• Harmony Dixon, MD

• Diagnostic Radiology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.