Dr. Stephanie Jo Penchuk --
Physician | Pediatrics | Female
Dr. Stephanie Jo Penchuk --, Physician is a Smithfield, Rhode Island based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Stephanie Jo Penchuk -- is
41 Sanderson Rd Ste 202, Smithfield, Rhode Island - 02917-2603. She can be contacted on phone at
401-231-3138 and fax number 401-231-4757.
Dr. Stephanie Jo Penchuk -- is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Stephanie Jo Penchuk -- is
1063570224 which was assigned by NPPES on 04 Dec, 2006 and it was last updated on 07 Mar, 2023.
Dr. Stephanie Jo Penchuk -- license number is
MD08739 for Pediatrics (208000000X) in Rhode Island.
Dr. Stephanie Jo Penchuk -- is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Stephanie Jo Penchuk -- basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Stephanie Jo Penchuk -- |
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| Credential : | Physician |
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| Gender : | Female |
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Business Address:
Dr. Stephanie Jo Penchuk -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 41 Sanderson Rd Ste 202
Smithfield, RI, 02917-2603
United States |
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| Phone Number : | 401-231-3138 |
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| Fax Number : | 401-231-4757 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1063570224 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Dec, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stephanie Jo Penchuk -- are as mentioned. Primary taxonomy code for Dr. Stephanie Jo Penchuk --, Physician is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD08739 | RI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Stephanie Jo Penchuk -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 379026449 | MEDICARE UPIN | RI | |
| 73004 | Other (non-Medicare) | MA | state licence |
| F91955 | MEDICARE UPIN | | |
| MD08739 | Other (non-Medicare) | RI | state license |
| SP40427 | MEDICAID | RI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 41 Sanderson Rd Ste 202
Smithfield, RI, 02917
United States |
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| Phone Number : | 401-231-3138 |
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| Fax Number : | 401-231-4757 |
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Business Location:
Patients can refer following map for directions to
Dr. Stephanie Jo Penchuk -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.