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Deactivated NPI 1629658943 Deactivated / Inactive NPI Male Practitioner

Ian Penvose

Orthopaedic Surgery • Providence, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ian Penvose has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 12, 2021
NPI Deactivation Date May 29, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Ian Penvose was a registered Orthopaedic Surgery practicing in Providence, RI. Throughout an active medical career spanning 1 years, Ian Penvose provided care at the practice location at 593 EDDY STREET until profile deactivation on 2022-05-29.

Practice Location & Contact Primary Location

Practice Address

593 Eddy Street

Providence, RI 02903

Telephone 4014444030
Associated Practice Facility / Clinic
🏢 Brown Neurology Facility NPI 1366486102

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
62 Specialists

Practicing in Providence, RI (154 Statewide)

Telehealth Adoption Rate
3.2% 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

CMS Verified: 2023-06-30
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI LP05576

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License RI LP05576

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Jeffrey Okewunmi , MD

Orthopaedic Surgery

NPI 1013606961

Doctor of Medicine (M.D.)

Dr. Sydney Rozenfeld , MD

Orthopaedic Surgery

NPI 1073260055

Doctor of Medicine (M.D.)

Dr. John Hanna , MD

Student in an Organized Health Care Education/Training Program

NPI 1093380487

Doctor of Medicine (M.D.)

Dr. Cameron Thomson , MD

Orthopaedic Surgery

NPI 1164172540

Doctor of Medicine (M.D.)

Dr. Sarah Criddle , MD

Student in an Organized Health Care Education/Training Program

NPI 1306422217

Doctor of Medicine (M.D.)

Dr. Daniel Alsoof , MBBS

Orthopaedic Surgery

NPI 1336839919

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location June 30, 2022

Registered at 593 EDDY STREET, PROVIDENCE, RI 02903 (Tel: 4014444030)

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Updated Business Mailing Address June 30, 2022

Registered at 593 EDDY STREET, PROVIDENCE, RI 02903

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Provider Name / Credentials Updated June 30, 2022

Recorded as IAN PENVOSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2022

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated May 29, 2022

Record deactivated on May 29, 2022

NPI Profile Active April 12, 2021

NPI status registered as active in NPPES database

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Updated Practice Location April 12, 2021

Registered at 586 PIONEER DR, ROCHESTER, MI 483094482 (Tel: 2483702100)

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Updated Business Mailing Address April 12, 2021

Registered at 586 PIONEER DR, ROCHESTER, MI 483094482

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Provider Name / Credentials Updated April 12, 2021

Recorded as IAN PENVOSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2021

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration April 12, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629658943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2021
Last Update: June 30, 2023
Deactivation Date: May 29, 2022
Sole Proprietor: Yes

Mailing Address

593 Eddy Street

Providence, RI 02903

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.