Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063570224 Individual Practitioner Female Practitioner

Stephanie Jo Penchuk , PHYSICIAN

Pediatrics • Smithfield, RI

Professional Overview & Biography Verified Profile Summary

Stephanie Penchuk, PHYSICIAN is a registered healthcare professional specializing in Pediatrics in Smithfield, RI. Practice services are available at 41 SANDERSON RD STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

41 Sanderson Rd Ste 202

Smithfield, RI 029172603

Telephone 4012313138
Fax 4012314757
Associated Practice Facility / Clinic
🏢 Smithfield Pediatrics Facility NPI 1346411592

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Smithfield, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Smithfield, RI (340 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License RI MD08739

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
SP40427 (RI)
Commercial Insurance / Payer ID State Licence
73004 (MA)
Commercial Insurance / Payer ID State License
MD08739 (RI)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1073547030

Doctor of Medicine (M.D.)

Hannah Marsland

Physician Assistant

NPI 1104616358
Jennifer Barton , PA-C

Physician Assistant

NPI 1366856056

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2014

Registered at 41 SANDERSON RD STE 202, SMITHFIELD, RI 029172603 (Tel: 4012313138)

📍
Updated Business Mailing Address January 27, 2014

Registered at 41 SANDERSON RD STE 202, SMITHFIELD, RI 02917 (Tel: 4012313138)

👤
Provider Name / Credentials Updated January 27, 2014

Recorded as STEPHANIE PENCHUK, PHYSICIAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2014

Pediatrics (License #MD08739 in RI)

🟢
Initial NPI Registration & Enumeration December 04, 2006

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: 1063570224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

41 Sanderson Rd Ste 202

Smithfield, RI 02917

Phone: 4012313138

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.