JENNIFER SUE ENGLE (NPI# 1487761284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487761284 |
| Entity Type | Individual |
| Full Name | JENNIFER SUE ENGLE |
| Credential | MD |
| Practice Address |
3290 West Big Beaver Suite 410 Troy MI 48084 |
| Mailing Address |
3290 W Big Beaver Suite 410 Troy MI 48084 |
| Practice Telephone | 2488166300 |
| Practice Fax Number | 2488166335 |
| Mailing Telephone | 2488166300 |
| Mailing Fax Number | 2488166335 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301056164 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 0633076 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656903 | Jennifer Engle | Counselor | 753 Walnut St, Gadsden, AL 35901-4138 | 2020-07-09 |
| 1376068924 | Jennifer Ann Engle | Counselor | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2017-08-04 |
| 1609306729 | Jennifer Beverly Engle | Registered Nurse | 25742 104th Ave Se, Kent, WA 98030-7691 | 2017-06-13 |
| 1417392614 | Jennifer Lynn Engle | Physician Assistant | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2013-05-02 |
| 1306962915 | Jennifer R Engle | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2007-03-22 |
| 1902845662 | Jennifer Hastings Engle | Optometrist | 295 High St, Berea, OH 44017-1833 | 2006-06-06 |
| Street Address |
3290 WEST BIG BEAVER SUITE 410 |
| City | TROY |
| State | MI |
| Zip Code | 48084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740396043 | Somerset Venous Center PC | Surgery | 3290 W Big Beaver, Suite 410, Troy, MI 48084 | 2006-08-21 |
| 1639157027 | Paul G Bove | Surgery | 525 E Big Beaver Rd, Suite 125, Troy, MI 48083-1364 | 2006-01-05 |
| 1508840315 | Maciej R Uzieblo | Surgery | 525 East Big Beaver Rd, Suite 125, Troy, MI 48083 | 2005-12-05 |
| 1225204118 | Steven D Rimar Md PC | Surgery | 4600 Investment Dr, Suite 250, Troy, MI 48098-6365 | 2008-05-01 |
| 1891998944 | Scott Silver | Surgery | 525 E Big Beaver Rd, Suite 125, Troy, MI 48083-1364 | 2007-06-07 |
| 1174726434 | Mark S Friedland Md PC | Surgery | 44199 Dequindre Rd, 623, Troy, MI 48085-1128 | 2007-06-06 |
| 1083790042 | Vascular & Endovascular Associates Plc | Surgery | 525 East Big Beaver Rd, Suite 125, Troy, MI 48083 | 2006-10-31 |
| 1932179132 | Graham W Long | Surgery | 525 E Big Beaver Rd, Suite 125, Troy, MI 48083-1364 | 2006-01-23 |
| 1093799637 | Mark S Friedland Md PC | Surgery | 44199 Dequindre Rd, Ste 623, Troy, MI 48085 | 2005-12-06 |
| 1205818994 | Steven D Rimar | Surgery | 4600 Investment Dr, Suite 250, Troy, MI 48098-6365 | 2005-11-17 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.