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JACK R. PENCE II MD
NPI 1851399414
Urology in Beavercreek, OH

Active since July 08, 2005
1911 N FAIRFIELD RD, SUITE 300, BEAVERCREEK, OH 45432(937) 429-7352(937) 429-3772 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack R. Pence Ii Md NPPES

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

JACK R. PENCE II MD (NPI 1851399414) is an individual urology provider in Beavercreek, Ohio, licensed in Ohio (35043064P) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1851399414
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJACK R. PENCE IICredential: MD
Location Address1911 N FAIRFIELD RD, SUITE 300Beavercreek, OH 45432-2762
Mailing Address6680 Poe Ave, Suite 200Dayton, OH 45414-2854 · (937) 280-8366 · Fax (937) 280-8373
Phone(937) 429-7352
Fax(937) 429-3772
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateMarch 17, 2014
✔ NPI 1851399414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in OH · 35043064P✔ Licensed in OH · 35-043064✔ Licensed in OH · 35043064
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1911 N FAIRFIELD RD, Beavercreek, OH 45432
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Other Identifiers 4

Medicaid0622857OH
Medicare PINPE0545591OH
Medicare UPINC46429
Medicare UPINC46429OH

Other Providers at the Same Location NPPES 7

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

RONALD A. VITULLO, DDS, LLC
Dentist (General Practice)
1911 N FAIRFIELD RD, SUITE 130
BEAVERCREEK, OH 45432
Greene County (937) 426-2253
RATNA K. PALAKODETI MD
Family Medicine
1911 N FAIRFIELD RD, SUITE 110
BEAVERCREEK, OH 45432
Greene County (937) 429-1369
MVHE INC
Family Medicine
1911 N FAIRFIELD RD, SUITE 110
BEAVERCREEK, OH 45432
Greene County (937) 429-1369
NATHAN PRICE
Nurse Practitioner (Psychiatric/Mental Health)
1911 N FAIRFIELD RD
BEAVERCREEK, OH 45432
Greene County (937) 759-0545
MATTHEW D MOORE MD
Family Medicine
1911 N FAIRFIELD RD, STE 110
BEAVERCREEK, OH 45432
Greene County (937) 429-4369
P GEORGE JOHN MD
Pediatrics
1911 N FAIRFIELD RD, STE 110A
BEAVERCREEK, OH 45432
Greene County (937) 429-4826
MVHE INC
Family Medicine
1911 N FAIRFIELD RD, SUITE 110A
BEAVERCREEK, OH 45432
Greene County (937) 429-4826

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 Jack Pence's NPI number?

The NPI number for Jack Pence is 1851399414. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Jack Pence located?

Jack Pence practices at 1911 N Fairfield Rd Suite 300, Beavercreek, OH 45432. The listed phone number is (937) 429-7352.

What is Jack Pence's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Jack Pence was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.