Organization Active NPI

Ronald Lee Devore MD Inc

Doing business as DeVore ENT

  • Otolaryngology Physician
  • Centerville, OH
National Provider Identifier
1740381342
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
RONALD LEE DEVORE MD INC
Doing business as
DeVore ENT
Practice address
8439 Yankee St
Centerville, OH 45458
Phone
(937) 312-9368
Fax
(937) 312-9369
NPI assigned
Sep 26, 2006
Last updated
Feb 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Mr. Ronald Lee Devore, MD
Title
President
Phone
(937) 312-9368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

8439 Yankee St
Centerville, OH 45458

Mailing address

8439 Yankee St
Centerville, OH 45458
Phone (937) 312-9368

Other identifiers 1

IdentifierTypeStateIssuer
2380490MedicaidOH

Other names 1

  • DeVore ENT Doing business as

National Provider Directory

National Provider Directory

Locations

2633 Commons Blvd
Ste 110
Beavercreek, OH 45431
Phone (937) 320-5195

8439 Yankee St
Dayton, OH 45458
Phone (937) 440-7872

9000 N Main St
Ste 326
Englewood, OH 45415
Phone (937) 832-1901

450 N Hyatt St
Uppr Vly
Tipp City, OH 45371

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1740381342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 YANKEE ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45458",
            "telephone_number": "937-312-9368",
            "fax_number": "937-312-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 YANKEE ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45458",
            "telephone_number": "937-312-9368",
            "fax_number": "937-312-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD LEE DEVORE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-312-9368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380490",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeVore ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.