Individual
DR. STEPHANIE JO PENCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD08739
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73004
STATE LICENCE
MA
01
—
MD08739
STATE LICENSE
RI
05
—
SP40427
—
RI
Enumeration date
12/04/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up