DR. JACKSON SITTENAUER MD
NPI 1831688084
Military Health Care Provider in Providence, RI

Q: What is Jackson Sittenauer's NPI number?

The NPI number for Jackson Sittenauer is 1831688084. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Q: What is Jackson Sittenauer's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Active since May 03, 2018

593 EDDY ST, PROVIDENCE, RI 02903(785) 221-0744 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2021, May 3, 2018 (2 updates tracked since 2018).

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About Dr. Jackson Sittenauer Md NPPES

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

DR. JACKSON SITTENAUER MD (NPI 1831688084) is an individual military health care provider provider in Providence, Rhode Island, licensed in Virginia (0101267940) and active in the NPI registry since May 2018. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1831688084

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameDR. JACKSON SITTENAUERCredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address593 Eddy StProvidence, RI 02903-4923 · (785) 221-0744

Phone(785) 221-0744

Sole ProprietorNo

Enumeration DateMay 3, 2018

Last NPPES UpdateMarch 23, 20242 updates tracked since enumeration

NPPES CertifiedMarch 23, 2024

✔ NPI 1831688084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

License✔ Licensed in VA · 0101267940

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedGeneral PracticeTaxonomy 208D00000X · License A193407 (CA), 35.150161 (OH), E-17506 (AR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

593 EDDY ST, Providence, RI 02903

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Secondary Practice Locations 3

Location 14735 E Marginal Way S Ste 1201Seattle, WA 98134-2380 · Phone (785) 221-0744

Location 23475 N Saratoga StOak Harbor, WA 98278-4927 · Phone (360) 257-9500

Location 38901 Wisconsin AveBethesda, MD 20889-0004 · Phone (301) 295-9283

Other Providers at the Same Location NPPES 20

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

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRIAN CAO MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-4286

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

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 Jackson Sittenauer's NPI number?

The NPI number for Jackson Sittenauer is 1831688084. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Jackson Sittenauer located?

Jackson Sittenauer practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (785) 221-0744.

What is Jackson Sittenauer's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jackson Sittenauer was last updated on March 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.