CONRAD F. DIVEN MD – NPI #1386843811
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

CONRAD DIVEN is a surgeon located in GOODYEAR, AZ. NPPES has assigned the NPI number 1386843811 to CONRAD DIVEN on July 14, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 8 years ago on Aug 22, 2018. 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 CONRAD DIVEN below.

NPI Profile for
CONRAD F. DIVEN

NPI Number
1386843811
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CONRAD F. DIVEN
Credentials
MD
Primary location
13677 W MCDOWELL RD
SUITE 201
GOODYEAR, AZ 85395
Phone: (623) 536-4200 Fax: (623) 882-4201
Mailing address
9250 N 3RD ST STE 3015
PHOENIX, AZ 85020-2425
Phone: (602) 633-3721 Fax: (602) 595-1127
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for CONRAD DIVEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ901433
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
208600000X
- Surgery (Primary)		 AZ 46967
2086S0127X
- Surgery / Trauma Surgery		 AZ 46967
2086S0102X
- Surgery / Surgical Critical Care		 AZ 46967

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.

Additional Information

Education
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CONRAD DIVEN is affiliated with the following medical group(s):
  • HOSPITAL
    • BANNER BAYWOOD MEDICAL CENTER
      6644 EAST BAYWOOD AVENUE
      MESA, AZ 85206
    • BANNER CASA GRANDE MEDICAL CENTER
      1800 EAST FLORENCE BOULEVARD
      CASA GRANDE, AZ 85122
    • BANNER DESERT MEDICAL CENTER
      1400 SOUTH DOBSON ROAD
      MESA, AZ 85202
    • BANNER GATEWAY MEDICAL CENTER
      1900 NORTH HIGLEY ROAD
      GILBERT, AZ 85234

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