Active NPIIndividual provider

Jan J Penkala, MD

Obstetrics & Gynecology in Lincoln, Rhode Island

NPI Number1861521148
Practice location
6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1179
Fax
401-333-2454
Last updated
August 4, 2009

Jan J Penkala is an Obstetrics & Gynecology based in Lincoln, RI. Jan J Penkala practices in Lincoln, RI and has the professional credentials of MD. The NPI Number for Jan J Penkala is 1861521148 and holds a License No. MD6052 (RI). The current practice location address for Jan J Penkala is 6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1179 and can be reached out via phone at 401-334-2229 and via fax at 401-333-2454.

Provider Profile Details

NPI Number
1861521148
Provider Name
Jan J Penkala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1179
Phone Number
401-334-2229
Fax Number
401-333-2454
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
March 5, 2007
Last Update Date
August 4, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Blackstone Valley Pl
Suite 501
Lincoln, RI 02865-1179
Zip
02865-1179
Phone Number
401-334-2229
Fax Number
401-333-2454
Lincoln, RI 02865Get directions →

Provider Business Mailing Address Details

Address
6 Blackstone Valley Pl
Suite 501
Lincoln, RI 02865-1179
City
Lincoln
State
RI
Zip
02865-1179
Phone Number
401-334-2229
Fax Number
401-333-2454

License Information

License Number
MD6052
License State
RI
Taxonomy
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jan J Penkala, MD?

The NPI number of Jan J Penkala, MD is 1861521148. It was assigned on March 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Jan J Penkala, MD?

Jan J Penkala, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in RI under license number MD6052.

Where does Jan J Penkala, MD practice?

The practice location is 6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1179. The office can be reached at 401-334-2229 (phone) or 401-333-2454 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861521148 directly on the NPPES registry website.

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