Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jackson Sittenauer, MD

Individual provider Military Health Care Provider · NPI 1831688084

Dr. Jackson Sittenauer, MD is a Military Health Care Provider in Providence, Rhode Island. Works from 4 locations. Licensed in Arkansas, California, Ohio and Virginia.

Licensed in
AR, CA, OH, VA
In the registry since
2018
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (785) 221-0744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8901 Wisconsin Ave, Bethesda, MD 20889-0004 — (301) 295-9283
  • 3475 N Saratoga St, Oak Harbor, WA 98278-4927 — (360) 257-9500
  • 4735 E Marginal Way S Ste 1201, Seattle, WA 98134-2380 — (785) 221-0744

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence 0101267940 (VA)
General Practice Physician Taxonomy 208D00000X · Licence A193407 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 35.150161 (OH)
General Practice Physician Taxonomy 208D00000X · Licence E-17506 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831688084
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2018
Last updated in NPPESMarch 23, 2024
Certification dateMarch 23, 2024
Mailing address593 Eddy St, Providence, RI 02903-4923

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