Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1689614703 Deactivated / Inactive NPI Male Practitioner

Dr. Jack R Wands , MD

Internal Medicine • Riverside, RI

⚠️

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, Dr. Jack Wands has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 07, 2006
NPI Deactivation Date September 13, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Wands, MD was a registered Internal Medicine practicing in Riverside, RI. Throughout an active medical career spanning 17 years, Dr. Wands provided care at the practice location at 375 WAMPANOAG TRL until profile deactivation on 2023-09-13.

Practice Location & Contact Primary Location

Practice Address

375 Wampanoag Trl
Suite 202a

Riverside, RI 029152232

Telephone 4016494030
Fax 4016494031
Associated Practice Facility / Clinic
🏢 Brown Medicine Facility NPI 1689626764

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Riverside, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.1 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
39 Specialists

Practicing in Riverside, RI (1079 Statewide)

Telehealth Adoption Rate
61.5% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD09974

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Dr. Thomas Denucci , MD

Internal Medicine - Gastroenterology

NPI 1033291570

Doctor of Medicine (M.D.)

Gabrielle Burke , NP

Nurse Practitioner - Family

NPI 1073284311

Nurse Practitioner

Dr. Sean Fine , MD

Internal Medicine - Gastroenterology

NPI 1114210267

Doctor of Medicine (M.D.)

Dr. Steven Moss , MD

Internal Medicine - Gastroenterology

NPI 1235186735

Doctor of Medicine (M.D.)

Dr. Paige Mclean Diaz , MD

Internal Medicine - Gastroenterology

NPI 1235669474

Doctor of Medicine (M.D.)

Dr. Kittichai Promrat , MD

Internal Medicine - Gastroenterology

NPI 1356398390

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated September 13, 2023

Record deactivated on September 13, 2023

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2016

Registered at 375 WAMPANOAG TRL, SUITE 202A, RIVERSIDE, RI 029152232 (Tel: 4016494030)

📍
Updated Business Mailing Address September 12, 2016

Registered at 17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 029054406 (Tel: 4014434992)

👤
Provider Name / Credentials Updated September 12, 2016

Recorded as JACK WANDS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Internal Medicine (License #MD09974 in RI)

🟢
Initial NPI Registration & Enumeration June 07, 2006

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 Wands. Be the first to share your experience!

Sign in to leave a review for Dr. Jack Wands

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

NPI Administrative Meta

NPI Number: 1689614703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: September 12, 2016
Deactivation Date: September 13, 2023

Mailing Address

17 Virginia Ave, Suite 107

Providence, RI 029054406

Phone: 4014434992

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.