Jenny R David, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Providence, RI
NPI 1275916702 · NPPES record last updated Dec 15, 2023
Key facts
- NPI
- 1275916702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- DO00990 (RI)
- Practice address
- 40 Candace St
Providence, RI 02908 - Phone
- (401) 444-0550
- Fax
- (401) 444-0425
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of New England, College of Osteo Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Providence Community Health Centers Inc.
Practice addresses (Care Compare)
40 Candace St
Providence, RI 02908-3747
Phone (401) 444-0550
Hospital & facility affiliations
- Women & Infants Hospital of Rhode Island
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191018000339 | RI | Practitioner - Obstetrics/Gynecology | 3971809724 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Services Landmark LLC | Current |
Accepting new patients | |
| Prime Healthcare Services Landmark LLC | Current |
Accepting new patients | |
| The Providence Community Health Centers, Inc | Current |
Accepting new patients | |
| The Providence Community Health Centers Inc. | Past | Accepting new patients |
Locations
375 Allens Ave
Providence, RI 02905
Phone (401) 444-0400
40 Candace St
Providence, RI 02908
Phone (401) 444-0550
115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701
Interoperability endpoints
- jdavid59133@hcnetwork.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO00990 | RI | Yes |
Addresses
Primary practice location
40 Candace St
Providence, RI 02908
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdavid59133@HCNetwork.direct-ci.com |
Other providers in Providence, RI
- Angela Dauphinais
- Richard M. Dauphinais
- David J. Lenkewicz DC Inc.
- David L.Kitzes,MD Inc
- David T. Barrall MD, Inc
- Kayla E David
- Duncan Ben Davidson
- Kelsey Theresa Davidson
- Robin Lynn Davidson
- Abigail Cope Davies
All providers in Providence, RI · Obstetrics & Gynecology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.