Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon G Divine, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1659391761

Jon G Divine, MD is a Sports Medicine in Cincinnati, Ohio. Graduated from University of Texas Medical Branch at Galveston in 1993, 33 years ago. Practices with Kentucky Rehabilitation Services, Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
33
Trained at
University of Texas Medical Branch at Galveston
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

222 Piedmont Ave Ml 0212
Cincinnati, OH 45219-4231
Phone: (513) 475-8690
Fax: (513) 475-7593
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 35-070497 (OH)

Record details

NPI number1659391761
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESOctober 17, 2013
Mailing address222 Piedmont Ave, Ml 0212, Cincinnati, OH 45219-4231

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1993 (33 years in practice)
Group practice Kentucky Rehabilitation Services, Inc. — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Cincinnati