RICHARD P. JENNINGS D.O. S. C.
NPI 1043394562
Otolaryngology in Beaver Dam, WI

Active since October 24, 2006
109 WARREN ST, BEAVER DAM, WI 53916(920) 887-8646(920) 887-8953 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard P. Jennings D.o. S. C. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD P. JENNINGS D.O. S. C. (NPI 1043394562) is a healthcare organization registered as an otolaryngology in Beaver Dam, Wisconsin and active in the NPI registry since October 2006. The organization lists Richard P Jennings, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1043394562
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameRICHARD P. JENNINGS D.O. S. C.
Location Address109 WARREN STBeaver Dam, WI 53916
Mailing Address109 Warren St, Suite #1Beaver Dam, WI 53916-3082 · (920) 887-8646 · Fax (920) 887-8953
Fax(920) 887-8953
Organization SubpartNo
Authorized OfficialRichard P JenningsPhysician Owner · (920) 887-8646
Enumeration DateOctober 24, 2006
Last NPPES UpdateJune 12, 2008
NPI 1043394562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WI · 29143
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
109 WARREN ST, Beaver Dam, WI 53916

Other Identifiers 3

Medicare UPINB53854
Medicare ID-Type Unspecified000080316
Medicaid30042200WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
109 WARREN ST, STE 4
BEAVER DAM, WI 53916
Pediatrics
109 WARREN ST, SUITE 4
BEAVER DAM, WI 53916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard P. Jennings D.O. S. C.'s NPI number?

The NPI number for Richard P. Jennings D.O. S. C. is 1043394562. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Richard P. Jennings D.O. S. C. located?

Richard P. Jennings D.O. S. C. is located at 109 Warren St, Beaver Dam, WI 53916. The listed phone number is (920) 887-8646.

What is Richard P. Jennings D.O. S. C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Richard P. Jennings D.O. S. C. was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.