RONNY SANTOSA MD – NPI #1346317005
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

RONNY SANTOSA is a physician located in FORT DEFIANCE, AZ. NPPES has assigned the NPI number 1346317005 to RONNY SANTOSA on November 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 7 years ago on Oct 24, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RONNY SANTOSA below.

NPI Profile for
RONNY SANTOSA

NPI Number
1346317005
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RONNY SANTOSA
Credentials
MD
Primary location
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone: (928) 729-8000 Fax:
1 Other location(s):
1233 Edgewater St NW
Salem, OR 97304-4049
Phone: (503) 378-7526
Fax: (503) 585-4278
Mailing address
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
MD D50860

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.