MR. MICHAEL D ENGSTROM (NPI# 1730278797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730278797 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL D ENGSTROM |
| Credential | PA-C |
| Practice Address |
4175 S Alamo Ave Dmafb Tucson AZ 85707-4402 |
| Practice Telephone | 5202282821 |
| Practice Fax Number | 5202281522 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3441 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 149592-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851831192 | Michael Engstrom | Social Worker | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2017-03-06 |
| Street Address |
4175 S ALAMO AVE DMAFB |
| City | TUCSON |
| State | AZ |
| Zip Code | 85707-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760956387 | Kyle Lynn Craver | Military Health Care Provider | 4175 S Alamo Ave, Tucson, AZ 85707 | 2019-01-16 |
| 1396216099 | Laura Bette | Social Worker | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-12-07 |
| 1679048250 | Lam T Chung | Pharmacist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-10-10 |
| 1811477235 | Alan Thatcher Price | Military Health Care Provider | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-08-15 |
| 1841776101 | Kimberly Johnson | Nurse Practitioner | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-07-19 |
| 1457868598 | Kristina Marie Linden | Social Worker | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2018-01-10 |
| 1235668054 | Joseph Anthony Everett | Dentist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2017-06-06 |
| 1407205743 | Eun Soo David Park | Family Medicine | 4175 S Alamo Ave, Tucson, AZ 85707 | 2016-06-07 |
| 1477907590 | Vanessa F Scheirer | Physical Therapist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2016-04-14 |
| 1164883104 | Marc Enslow | Dentist | 4175 S Alamo Ave, Tucson, AZ 85707-4402 | 2016-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699128850 | Megan Dehaven | Specialist/Technologist | 5455 E Comanche St, Tucson, AZ 85707 | 2016-07-22 |
| 1780927954 | Ryan N Taylor | Physician Assistant | 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 | 2013-04-05 |
| 1154658839 | Alisha A Marchetti | Physician Assistant | 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 | 2009-11-17 |
| 1851529192 | Christopher Thomas Yarbrough | Military Health Care Provider | 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 | 2009-06-25 |
| 1144457045 | Denise Fabian | Psychiatry & Neurology | 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 | 2009-06-17 |
| 1942437447 | Emerson M Earle | Military Health Care Provider | 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 | 2009-06-11 |
| 1164657136 | Raul Romero | Military Health Care Provider | 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 | 2009-05-20 |
| 1063647196 | Virginia E. Bailey | Military Health Care Provider | 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 | 2009-05-19 |
| 1043417611 | Jacob Riis | Orthopaedic Surgery | 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 | 2007-06-28 |
| 1508989732 | Christopher E. Dunham | Physician Assistant | 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 | 2007-04-10 |
| Find all providers in zip 85707 | ||||
| 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 |
|---|---|---|---|---|
| 1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
| 1902416084 | Nooria Sufi | Physician Assistant | 3849 E Calle De Soto, Tucson, AZ 85716-5125 | 2020-08-04 |
| 1578189650 | Emily Alaine Maru | Physician Assistant | 9641 E Waters Edge Pl, Tucson, AZ 85749-7901 | 2020-06-24 |
| 1144863481 | Daniel E Valdez | Physician Assistant | 7360 S Frost Dr, Tucson, AZ 85747-5641 | 2019-10-18 |
| 1831663731 | Chenin Poels | Physician Assistant | 1652 E Saint Ferdinand Pl, Tucson, AZ 85713-5185 | 2019-01-14 |
| 1750864310 | Stephen Skiano | Physician Assistant | 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 | 2018-09-10 |
| 1215415112 | Chelsea Marie Baker | Physician Assistant | 2495 N Desert Links Dr Apt 11, Tucson, AZ 85715-3727 | 2018-08-02 |
| 1891209268 | Samantha Martinez | Physician Assistant | 7089 N Thornydale Rd, Tucson, AZ 85741-2728 | 2017-11-21 |
| 1851819692 | Clayton Harrison Andrews | Physician Assistant | 1501 N Campbell Ave Rm 4325, Tucson, AZ 85724-0001 | 2017-08-31 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| Find all providers in TUCSON | ||||
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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.