| Ronald W Divine, MD | |
|
3501 N Scottsdale Rd Ste 130, Scottsdale, AZ 85251-5649 | |
| (480) 425-5000 | |
| Not Available |
| Full Name | Ronald W Divine |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3501 N Scottsdale Rd Ste 130, Scottsdale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184672024 | NPI | - | NPPES |
| 138138 | Medicaid | OR | |
| 102232 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 21536 (Oregon) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 36719 (Arizona) | Primary |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald W Divine, MD Po Box 2156, Corvallis, OR 97339-2156 Ph: (541) 758-5047 | Ronald W Divine, MD 3501 N Scottsdale Rd Ste 130, Scottsdale, AZ 85251-5649 Ph: (480) 425-5000 |
Dr. Catalina Nicole Flores, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Nicole Warrington, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Rodney Scott Owen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 N Scottsdale Rd, Suite 130, Scottsdale, AZ 85251 Phone: 480-425-5000 Fax: 480-425-5033 | |
Christopher Charles May, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 N Scottsdale Rd, Ste 130, Scottsdale, AZ 85251 Phone: 480-425-5000 Fax: 480-945-6548 | |
William Henry Taylor, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 N Scottsdale Rd, Ste 130, Scottsdale, AZ 85251 Phone: 480-425-5000 Fax: 480-945-6548 | |
Dr. Siddharth Yogen Pandya, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Quinn Alan Baker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |