Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN PENVOSE
Deactivated Sole ProprietorIAN PENVOSE is a Orthopaedic Surgery healthcare provider located in PROVIDENCE, Rhode Island. NPI 1629658943 is deactivated in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · PROVIDENCE, RI
This NPI has been deactivated.
The record was deactivated on May 29, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1629658943
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2021 (1.1287671232877 yrs)
- Last Updated
- Jun 30, 2023
- Deactivated
- May 29, 2022
- Licenses
-
LP05576 (RI)LP05576 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
593 EDDY STREETPROVIDENCE, RI, 02903Browse RI providers · Browse ZIP 02903
- Phone
- 4014444030
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Orthopaedic Surgery
Other Orthopaedic Surgery Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| THOMAS FRANCIS BLISS JR. | M.D. | 1447254479 |
| DR. STANLEY JOHN STUTZ JR. | — | 1033103098 |
| ROMAN ARTYM HAYDA | MD | 1275523649 |
| CRAIG P. EBERSON | M.D. | 1477518330 |
| PETER A PIZZARELLO | M.D. | 1568420115 |
| PATRICIA SOLGA | MD | 1598714172 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.