CHARLES ENGLE (NPI# 1447652490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447652490 |
| Entity Type | Individual |
| Full Name | CHARLES ENGLE |
| Credential | PA-C |
| Practice Address |
982 E Main St Bridgeport CT 06608-1913 |
| Mailing Address |
706 Larson Dr Danbury CT 06810-7373 |
| Practice Telephone | 2036963260 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 017947 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 23.003178 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | 1118886 | 01 |
| Street Address |
982 E MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384885 | Vitaly Lein | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2005-11-23 |
| 1356942494 | Marilyn Karen Bartley | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-11-04 |
| 1609475169 | Farihah Janan Ahmed | Dentist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-10-25 |
| 1093347114 | Alix Pose-sussman | Acupuncturist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-02-06 |
| 1629588678 | Kristin Obrien | Social Worker | 982 E Main St, Bridgeport, CT 06608-1913 | 2017-10-04 |
| 1326591223 | Saif Issac | Dentist | 982 E Main St, Bridgeport, CT 08806 | 2016-07-27 |
| 1740651884 | Michael O'malley | Social Worker | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-10-15 |
| 1437525110 | Myriam H Rodriguez | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-08-17 |
| 1972907012 | Optimus Healthcare | Clinic/Center | 982 E Main St, Dental Department, Bridgeport, CT 06608-1913 | 2014-10-17 |
| 1801205463 | Carly Gene Staab | Nurse Practitioner | 982 E Main St, Bridgeport, CT 06608-1913 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1285092346 | Heavenly Providers, LLC | Home Health | 1071 William St, Bridgeport, CT 06608 | 2016-02-04 |
| 1659590131 | Annette Tirado | Social Worker | 982 East Main St, Bridgeport, CT 06608 | 2007-04-24 |
| 1629023536 | Brenda I Kulikowski | Midwife | 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 | 2006-05-23 |
| 1043695588 | Kirithika Mohanathaas | Internal Medicine | 471 Barnum Ave, Bridgeport, CT 06608 | 2015-07-27 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1295013910 | Lorraine Dionne Brooks-williams | Registered Nurse | 100 Putnam St, Ph, Bridgeport, CT 06608-1045 | 2011-07-29 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| 1568795094 | Kelly M Bucci-didomenico | Nurse Practitioner | 479 Helen St, Bridgeport, CT 06608-1321 | 2009-09-16 |
| Find all providers in zip 06608 | ||||
| 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 |
|---|---|---|---|---|
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1114583291 | Steven K Struthers | Physician Assistant | 93 Lance Cir, Bridgeport, CT 06606-1046 | 2019-05-14 |
| 1588229645 | Alexander Daniel Ohlson | Physician Assistant | 46 Newton St, Bridgeport, CT 06605-3306 | 2019-05-04 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1861821209 | Andrea Megan Deloera | Physician Assistant | 808 Ww Ray Cir, Bridgeport, TX 76426-2061 | 2013-11-06 |
| 1093023681 | Robert Joseph Scherl | Physician Assistant | Bldg #3005 S.r. 108, Naval Hospital Branch Clinic, Bridgeport, Bridgeport, CA 93517 | 2010-09-17 |
| 1457480022 | James D Stalnaker | Physician Assistant | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2007-03-02 |
| 1740331024 | Brandi Linette Hicks | Physician Assistant | 47053 Al Highway 277, Suite C, Bridgeport, AL 35740-7205 | 2007-01-15 |
| 1114033867 | William Douglas Todd | Physician Assistant | 221 Twin Lakes Road, Bridgeport, CA 93517-0535 | 2006-08-22 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06608 |
Please comment or provide details below to improve the information on CHARLES ENGLE.
| 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.