Jack R. Pence is a Urology in Beavercreek, Ohio. Jack R. Pence practices all healthcare services and medical treatments related to Urology. The NPI Number for Jack R. Pence is 1851399414. The last update date is 2014-03-17.
Jack R. Pence's current location address is 1911 N Fairfield Rd, Beavercreek, Ohio. You can contact this provider via phone number 9374297352 and fax number 9374293772. The mailing address for Jack R. Pence is 1911 N Fairfield Rd, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack R. Pence |
|---|---|
| Address | 1911 N Fairfield Rd, Beavercreek, Ohio |
| Phone Number | 9374297352 |
| Fax Number | 9374293772 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1851399414 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2014-03-17 |
Provider Mailing Address Detail
| Address | 1911 N Fairfield Rd |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 4543227620 |
| Phone Number | 9374297352 |
| Fax Number | 9374293772 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 35-043064 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 622857 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jack R. Pence by the Centers for Medicare & Medicaid Services (CMS)?
The Jack R. Pence has been assigned the NPI (National Provider Identifier) 1851399414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jack R. Pence is physically located?
The Jack R. Pence is physically situated at the following address: 1911 N Fairfield Rd, Beavercreek, OH, 4543227620.
What is Jack R. Pence's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack R. Pence's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851399414 to Jack R. Pence?
The Centers for Medicare & Medicaid Services assigned the 1851399414 to Jack R. Pence on 2005-07-08.
As of what date were the Jack R. Pence's details last updated?
The information pertaining to the Jack R. Pence, including its address, specialty, and other details, was most recently updated on 2014-03-17.
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