Timothy D Divens, MD
Timothy D Divens, MD is a Diagnostic Radiology in Indianapolis, Indiana. Graduated from Wayne State University School of Medicine in 1989, 37 years ago. Practices with Decatur County Memorial Hospital, a 130-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 37
- Trained at
- Wayne State University School of Medicine
- Licensed in
- IN
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
9998 Crosspoint Blvd Ste 200Indianapolis, IN 46256-3307
Phone: (317) 579-2150
Fax: (317) 579-2130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 01050545A (IN) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 1050545 (IN) |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 01050545A (IN) |
Record details
| NPI number | 1164416475 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 1, 2005 |
| Last updated in NPPES | December 24, 2020 |
| Certification date | December 24, 2020 |
| Mailing address | 9998 Crosspoint Blvd, Ste 200, Indianapolis, IN 46256-3307 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1989 (37 years in practice) |
| Group practice | Decatur County Memorial Hospital — 130 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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