Jan J Penkala (NPI# 1861521148, PAC ID# 7416005384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1861521148 |
PAC ID by PECOS | 7416005384 |
Professional Enrollment ID | I20090502000051 |
Full Name | Jan J Penkala |
Address |
6 Blackstone Valley Pl Suite 501 Lincoln RI 02865-1101 |
Gender | M |
Graduation Year | 1978 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
410011 | LANDMARK MEDICAL CENTER |
410005 | OUR LADY OF FATIMA HOSPITAL |
Address | Phone | Organization |
---|---|---|
6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1101 |
Street Address |
6 BLACKSTONE VALLEY PL SUITE 501 |
City | LINCOLN |
State | RI |
Zip | 02865-1101 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicholas Ryan Chasse | Nurse Practitioner | Coastal Medical Inc | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170 |
Kate O Heelan | Family Medicine | Coastal Medical Inc | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170 |
Richard E Vannieuwenhuize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
Michelle C Van Nieuwenhize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
Anne E Cushing Brescia | Internal Medicine | Coastal Medical Inc | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170 |
Mridula Menon | Internal Medicine | Coastal Medical Inc | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170 |
Victoria Voshchin | Nurse Practitioner | Coastal Medical Inc | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170 |
Christina Botelho | Nurse Practitioner | Coastal Medical Inc | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170 |
Rachel A Baboian | Qualified Audiologist | 6 Blackstone Valley Pl, Suite 307, Lincoln, RI 02865-1112 | |
Daniel K Asiedu | Internal Medicine | Coastal Medical Inc | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Carl E Levick | Cardiovascular Disease (cardiology) | Lifespan Physician Group, Inc. | 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 |
Tyler John Sliney | Chiropractic | 640 George Washington Hwy, Bldg C Suite 102, Lincoln, RI 02865 | |
Mohammad Jamali | Physical Therapy | Orthopedics Rhode Island, Inc | 6 Blackstone Valley Pl, Lincoln, RI 02865-1102 |
Gregory Lazan | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
William T Smith | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
Glenda E Byhouwer | Clinical Social Worker | 132 Old River Rd, Suite 300, Lincoln, RI 02865-1158 | |
Carol J Hamel | Optometry | 132 Old River Rd, Suite 201, Lincoln, RI 02865-1158 | |
David Kadmon | Rheumatology | 132 Old River Rd, B2, Lincoln, RI 02865-1158 | |
Gregg E Oehler | Physician Assistant | Anchor Medical Associates | 1 Commerce St, Lincoln, RI 02865-1168 |
Randall I Rosenthal | Obstetrics/gynecology | Lifespan Physician Group, Inc. | 6 Blackstone Valley Pl, Lincoln, RI 02865-1179 |
Find all physicians in zip 02865 |
City | LINCOLN |
Zip Code | 02865 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | LINCOLN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jan J Penkala.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.