ERIC BRYAN ENGEL (NPI# 1659444305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659444305 |
| Entity Type | Individual |
| Full Name | ERIC BRYAN ENGEL |
| Credential | PA |
| Practice Address |
1106 W Jackson St Ozark MO 65721-9164 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4175813548 |
| Practice Fax Number | 4175816164 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2014032125 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8Y2074 | 01 |
| TX | 188436301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326082587 | Eric Roy Engel | Dentist | 3800 W Ray Rd, #14, Chandler, AZ 85226-5940 | 2006-06-16 |
| Street Address |
1106 W JACKSON ST |
| City | OZARK |
| State | MO |
| Zip Code | 65721-9164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790874931 | Holly J. Benedict | Family Medicine | 1106 W Jackson St, Ozark, MO 65721-9164 | 2006-10-12 |
| 1891145827 | Matthew Hansen | Optometrist | 1106 W Jackson St, Ozark, MO 65721-9164 | 2016-06-21 |
| 1023214145 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 1106 W Jackson St, Ozark, MO 65721-9164 | 2007-06-25 |
| 1063596278 | Rick W. Williams | Family Medicine | 1106 W Jackson St, Ozark, MO 65721-9164 | 2006-10-24 |
| 1487744322 | Audrey L. Gordin | Family Medicine | 1106 W Jackson St, Ozark, MO 65721-9164 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528094695 | Jeffrey S. Delvecchio | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2006-06-23 |
| 1366077240 | Daniel Ellis | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2020-03-11 |
| 1457843740 | Hillary Gale Roberts | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2018-06-01 |
| 1750885901 | Ashley M Shaw | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2018-03-22 |
| 1821590142 | Cody L Giedd | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2018-03-02 |
| 1659758134 | Sarah Agnes Eck Tipton | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2015-05-04 |
| 1528461621 | Justin R Allphin | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2014-10-02 |
| 1366714107 | Stephanie Elizabeth Mather | Physician Assistant | 505 N 25th St, Ozark, MO 65721-9069 | 2012-02-08 |
| 1568501112 | Jessica L. Davis | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2007-02-06 |
| 1417096058 | Kraig M. Holtorf | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2007-02-06 |
| Find all providers in OZARK | ||||
Please comment or provide details below to improve the information on ERIC BRYAN ENGEL.
| 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.