DR. RONNY SANTOSA MD
NPI 1346317005
Internal Medicine in Fort Defiance, AZ

Active since November 29, 2006
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2019, Sep 21, 2016 (2 updates tracked since 2016).

About Dr. Ronny Santosa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RONNY SANTOSA MD (NPI 1346317005) is an individual internal medicine provider in Fort Defiance, Arizona, licensed in Oregon (MD167344) and active in the NPI registry since November 2006. He maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1346317005
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RONNY SANTOSACredential: MD
Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504
Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration
NPI 1346317005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OR · MD167344 Licensed in MD · D50860 Licensed in WY · 8428A
Definition

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.

CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

Secondary Practice Location 1

Location 11233 Edgewater St NWSalem, OR 97304-4049 · Phone (503) 378-7526 · Fax (503) 585-4278

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Social Worker
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Otolaryngology
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Physical Therapist
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE PHS HOSPITAL
FORT DEFIANCE, AZ 86504
Podiatrist
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE PHS HOSPITAL
FORT DEFIANCE, AZ 86504
Anesthesiology
CORNER OF ROUTE N12 AND N7, FT DEFIANCE PHS HOSPITAL
FT DEFIANCE, AZ 86504
Advanced Practice Midwife
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Advanced Practice Midwife
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronny Santosa's NPI number?

The NPI number for Ronny Santosa is 1346317005. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Ronny Santosa located?

Ronny Santosa practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.

What is Ronny Santosa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Ronny Santosa was last updated on October 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.