Individual provider · Type 1 NPI

Ian Penvose

Orthopaedic Surgery Physician · Providence, RI

NPI number 1629658943 Active · reactivated Jun 30, 2022

Practice location

593 Eddy Street
Providence, RI 02903

Call (401) 444-4030 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XLP05576 (RI)
Orthopaedic Surgery Physician Primary 207X00000XLP05576 (RI)

Orthopaedic Surgery Physician: 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, deformitie…

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About NPI 1629658943

Ian Penvose's National Provider Identifier is 1629658943, issued on Apr 12, 2021. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Providence, RI. The record was last updated on Jun 30, 2023.