Jon G Divine is a Sports Medicine in Cincinnati, Ohio. Jon G Divine practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jon G Divine is 1659391761. The last update date is 2013-10-17.
Jon G Divine's current location address is 222 Piedmont Ave, Cincinnati, Ohio. You can contact this provider via phone number 5134758690 and fax number 5134757593. The mailing address for Jon G Divine is 222 Piedmont Ave, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon G Divine |
|---|---|
| Address | 222 Piedmont Ave, Cincinnati, Ohio |
| Phone Number | 5134758690 |
| Fax Number | 5134757593 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1659391761 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2013-10-17 |
Provider Mailing Address Detail
| Address | 222 Piedmont Ave |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452194231 |
| Phone Number | 5134758690 |
| Fax Number | 5134757593 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 35-070497 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64077175 | KY | -- | |
| 2475503 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jon G Divine by the Centers for Medicare & Medicaid Services?
The Jon G Divine has been issued the NPI (National Provider Identifier) 1659391761 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jon G Divine's facilities are situated?
The facilities of Jon G Divine are physically located at the following address: 222 Piedmont Ave, Cincinnati, OH, 452194231.
What is the Jon G Divine's area of specialization and corresponding taxonomy classification?
The Jon G Divine's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date was the 1659391761 assigned to Jon G Divine?
The Jon G Divine was issued its 1659391761 on 2006-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jon G Divine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jon G Divine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-17.