Jenny R David (NPI# 1275916702, PAC ID# 3971809724) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1275916702 |
| PAC ID by PECOS | 3971809724 |
| Professional Enrollment ID | I20191018000339 |
| Full Name | Jenny R David |
| Organization Legal Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Address |
40 Candace St Providence RI 02908-3747 |
| Phone Number | 4014440550 |
| Gender | F |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9335050962 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410010 | WOMEN & INFANTS HOSPITAL OF RHODE ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 40 Candace St, Providence, RI 02908-3747 | 4014440550 | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Organization Legal Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Ekknoor K. Sahota | Internal Medicine | The Providence Community Health Centers Inc. | 100 Curtis St, Providence, RI 02909-3623 |
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Phina A Mayu | Nurse Practitioner | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
| Nadine S Hewamudalige | Family Medicine | The Providence Community Health Centers Inc. | 239 Cranston St, Providence, RI 02907-2406 |
| Stanley Block | Allergy/immunology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Sonal Patel | Family Medicine | The Providence Community Health Centers Inc. | 1 Warren Way, Providence, RI 02905-5000 |
| Erick R Soria Galvarro Duran | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Tariq K Malik | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Street Address |
40 CANDACE ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02908-3747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aftab Iqbal | Internal Medicine | The Providence Community Health Centers Inc. | 40 Candace St, Providence, RI 02908-3747 |
| Roxana Rodriguez | Internal Medicine | The Providence Community Health Centers Inc. | 40 Candace St, Providence, RI 02908-3747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward T Gallucci | Chiropractic | 1337 Smith St, North Providence, RI 02908-1823 | |
| Sean Manchester | Clinical Social Worker | 19 Trinity Pkwy, Providence, RI 02908-1932 | |
| Nicholas Bruno | Physical Therapy | 667 Academy Ave, Providence, RI 02908-2105 | |
| John Charette | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Tara Mabel Brannon Bogs | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Leah Elizabeth Shavalier | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Catherine Hoefliger-gallo | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Randi J Braunstein | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Michael D Brodeur | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Terri Lupoli | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Find all physicians in zip 02908 | |||
| City | PROVIDENCE |
| Zip Code | 02908 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | PROVIDENCE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jenny R David.
| 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.