JON G DIVINE (NPI# 1659391761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659391761 |
| Entity Type | Individual |
| Full Name | JON G DIVINE |
| Credential | M.D. |
| Practice Address |
222 Piedmont Ave Ml 0212 Cincinnati OH 45219-4231 |
| Practice Telephone | 5134758690 |
| Practice Fax Number | 5134757593 |
| Mailing Telephone | 5134758690 |
| Mailing Fax Number | 5134757593 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
35-070497 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2475503 | 05 | |
| KY | 64077175 | 05 |
| Street Address |
222 PIEDMONT AVE ML 0212 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829514 | University Orthopaedic Consultants of Cincinnti, Inc. | Physician Assistant | 222 Piedmont Ave, Ste 2200, Cincinnati, OH 45219-4238 | 2005-05-31 |
| 1235775255 | Courtney Jo Bockrath | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2019-11-25 |
| 1124593058 | Cindy Daggitt | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-10-08 |
| 1831683226 | Lauren Rankine | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-06-19 |
| 1861996423 | Emily Thitoff | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-03-20 |
| 1174026025 | Amanda Burton | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-03-16 |
| 1629579610 | Katherine Christian Romanowicz | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-02-24 |
| 1063929701 | Blair Mcchesney | Registered Nurse | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-01-03 |
| 1871028357 | Raquel Keren Zemtsov | Student in an Organized Health Care Education/Training Program | 222 Piedmont Ave, Suite 5200, Cincinnati, OH 45219-4231 | 2017-04-21 |
| 1053844738 | Forest Weir | Student in an Organized Health Care Education/Training Program | 222 Piedmont Ave, Suite 5200, Cincinnati, OH 45219-4231 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497804181 | Earl C. Scheidler,do., Inc. | Family Medicine | 11043 Main St, Cincinnati, OH 45241-2678 | 2007-01-10 |
| 1154303501 | Todd E Grime | Family Medicine | 8099 Cornell Rd, Cincinnati, OH 45249 | 2005-11-18 |
| 1295353092 | Orthocincy | Family Medicine | 8251 Pine Rd Ste 212, Cincinnati, OH 45236-2194 | 2020-07-08 |
| 1780973982 | Brian J Fuller | Family Medicine | 6909 Good Samaritan Dr, Suite A, Cincinnati, OH 45247-5208 | 2011-03-29 |
| 1467656462 | Emily E Dixon | Family Medicine | 4411 Montgomery Rd, Suite 200, Cincinnati, OH 45212 | 2007-06-13 |
| 1043345739 | Manna Yegna Sankar | Family Medicine | 4460 Montgomery Rd, Cincinnati, OH 45212-3116 | 2007-02-22 |
| 1528063740 | John Patrick Zisko | Family Medicine | 4440 Glen Este Withamsville Rd, Suite 500, Cincinnati, OH 45245-1318 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417467119 | Natalie Marie Dragovich | Family Medicine | 9228 Shepard Rd, Macedonia, OH 44056-1454 | 2017-10-07 |
| 1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
| 1295152296 | Benjamin Ross Ahrens | Family Medicine | 4343 All Seasons Dr Ste 100, Hilliard, OH 43026-1961 | 2014-03-27 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1669815445 | Anthony Peter Mckeen | Family Medicine | 1900 S Union Ave Ste 100, Alliance, OH 44601-4355 | 2013-04-11 |
| 1053661322 | Greene Memorial Hospital Services, Inc. | Family Medicine | 6645 Morris Rd, Hamilton, OH 45011-5417 | 2012-09-14 |
| 1700142734 | Jeffrey Aaron James | Family Medicine | 2350 Miami Valley Dr Ste 320a, Dayton, OH 45459-4778 | 2012-04-04 |
| 1568751790 | Raul A Raudales Jr. | Family Medicine | State Rte 159, Ste G15, Chillicothe, OH 45601 | 2011-03-28 |
| 1255639381 | Ohiohealth Corporation | Family Medicine | 1797 Hill Rd N Ste 100, Pickerington, OH 43147-7998 | 2011-03-15 |
| 1811295900 | Ohiohealth Corporation | Family Medicine | 94 N High St Ste 200, Dublin, OH 43017-1194 | 2011-03-14 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.