Jason R Divito (NPI# 1558604876, PAC ID# 4183981947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1558604876 |
| PAC ID by PECOS | 4183981947 |
| Professional Enrollment ID | I20180615001841 |
| Full Name | Jason R Divito |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF MACON PC |
| Address |
1 E Lexington Ave Unit 903 Phoenix AZ 85012-2489 |
| Phone Number | 9525951100 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7113817701 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180044 | PIKEVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 265 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1908 | 3522417440 | SMI IMAGING LLC |
| 9603 Savona Winds Dr, Robert Rabiea, Delray Beach, FL 33446-9756 | 5613810458 | SIMONMED IMAGING FLORIDA LLC |
| 501 Ne 36th St Unit, Suite 2707, Miami, FL 33137-3135 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 1 E Lexington Ave, Unit 903, Phoenix, AZ 85012-2489 | 9525951100 | RADIOLOGY ASSOCIATES OF MACON PC |
| 1801 S Flagler Dr, Unit 1106, West Palm Beach, FL 33401-7347 | 9525951100 | RADIOLOGY ASSOCIATES OF MACON PC |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF MACON PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri H Parker | Nurse Practitioner | Radiology Associates of Macon PC | 770 Pine St, Suite 290, Macon, GA 31201-7516 |
| Marcus L Parker | Physician Assistant | Radiology Associates of Macon PC | 777 Hemlock St, Macon, GA 31201-2102 |
| David J Frolich | Diagnostic Radiology | Radiology Associates of Macon PC | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
| Lee H Hall | Diagnostic Radiology | Radiology Associates of Macon PC | 770 Pine St, Macon, GA 31201-7516 |
| Street Address |
1 E LEXINGTON AVE UNIT 903 |
| City | PHOENIX |
| State | AZ |
| Zip | 85012-2489 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary James Mcconnell | Physical Therapy | Camelback Mountain Sports Medicine | 100 E Camelback Rd, Suite 120, Phoenix, AZ 85012-1061 |
| Lauren D Provencio | Physical Therapy | Camelback Mountain Sports Medicine | 100 E Camelback Rd, Suite 120, Phoenix, AZ 85012-1061 |
| Melissa A Ditaranto | Physical Therapy | Camelback Mountain Sports Medicine | 100 E Camelback Rd, Suite 120, Phoenix, AZ 85012-1061 |
| Jenna R Bartels | Physical Therapy | Camelback Mountain Sports Medicine | 100 E Camelback Rd, Suite 120, Phoenix, AZ 85012-1061 |
| Natalie J Semon | Physical Therapy | Camelback Mountain Sports Medicine | 100 E Camelback Rd, Suite 120, Phoenix, AZ 85012-1061 |
| Jennifer L Teslevich | Physical Therapy | Camelback Mountain Sports Medicine | 100 E Camelback Rd, Suite 120, Phoenix, AZ 85012-1061 |
| Alexandra Wickham | Physical Therapy | Camelback Mountain Sports Medicine | 100 E Camelback Rd, Suite 120, Phoenix, AZ 85012-1061 |
| Dennis R Stjames | Physical Therapy | Dennis R. St James Physical Therapy Ltd | 532 E Maryland Ave, Suite C, Phoenix, AZ 85012-1143 |
| Justin C St James | Physical Therapy | Dennis R. St James Physical Therapy Ltd | 532 E Maryland Ave, Suite C, Phoenix, AZ 85012-1143 |
| Petrusia A Howansky | Podiatry | 520 E Bethany Home Rd, Phoenix, AZ 85012-1207 | |
| Find all physicians in zip 85012 | |||
| City | PHOENIX |
| Zip Code | 85012 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PHOENIX + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jason R Divito.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.