Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851399414 Individual Practitioner Male Practitioner

Dr. Jack R. Pence , MD

Urology • Beavercreek, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jack Pence, MD is a registered healthcare professional specializing in Urology in Beavercreek, OH. Practice services are available at 1911 N FAIRFIELD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1911 N Fairfield Rd
Suite 300

Beavercreek, OH 454322762

Telephone 9374297352
Fax 9374293772
Associated Practice Facility / Clinic
🏢 Ronald A. Vitullo, Dds, Llc Facility NPI 1114009594

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Beavercreek, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Beavercreek, OH (564 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35043064P

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 acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35-043064

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 acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35043064

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 acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0622857 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1710984570

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2014

Registered at 1911 N FAIRFIELD RD, SUITE 300, BEAVERCREEK, OH 454322762 (Tel: 9374297352)

📍
Updated Business Mailing Address March 17, 2014

Registered at 6680 POE AVE, SUITE 200, DAYTON, OH 454142854 (Tel: 9372808366)

👤
Provider Name / Credentials Updated March 17, 2014

Recorded as JACK PENCE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2014

Urology (License #35043064P in OH)

🟢
Initial NPI Registration & Enumeration July 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jack Pence. Be the first to share your experience!

Sign in to leave a review for Dr. Jack Pence

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1851399414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2005
Last Update: March 17, 2014
Sole Proprietor: No

Mailing Address

6680 Poe Ave, Suite 200

Dayton, OH 454142854

Phone: 9372808366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.