PEGGY JEAN ENGLEBRAKE


Address: Hwy 160 163, Building Ka2010, Kayenta, AZ 86033-0368
Phone: 9286974000

PEGGY JEAN ENGLEBRAKE (NPI# 1861566226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861566226
Entity Type Individual
Full Name PEGGY JEAN ENGLEBRAKE
Credential M.D.
Practice Address Hwy 160 163
Building Ka2010
Kayenta
AZ 86033-0368
Mailing Address Po Box 4148
Phs 3019
Kayenta
AZ 86033-4148
Practice Telephone 9286974000
Mailing Telephone 9286973698
Enumeration Date 2006-11-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
3461 AK Allopathic & Osteopathic Physicians

Office Location

Street Address HWY 160 163
BUILDING KA2010
City KAYENTA
State AZ
Zip Code 86033-0368

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962048306 Pauletta A Butterfly Social Worker Hwy. 160 Mp 394.3, Kayenta, AZ 86033 2019-11-20
1871143255 Andrea Dawn Begay Nurse's Aide Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 2019-09-17
1083264451 Mavis Ann Bahe Nurse's Aide Kayenta Health Center, Us Hwy 160, Mp 394.3, Kayenta, AZ 86033 2019-09-17
1609420165 Emily Ingram Nimon Registered Nurse Kayenta Health Center Hwy 160 M.p. 394.3, Kayenta, AZ 86033 2019-08-01
1700439577 Sherri A Verdon Registered Nurse Hwy 160 M.p 394.3, Kayenta, AZ 86033 2019-07-22
1447712104 Cynthia Kaye Robbins Registered Nurse Us Highway 160 Mile Post 394.3, Kayenta, AZ 86033 2019-04-02
1871051052 Brian Jason Miller Registered Nurse Hwy 160, Mile Post 394.3, Kayenta, AZ 86033 2019-03-07
1265915615 Marissa Brooke Wall Optometrist 394.3 Us-160, Kayenta, AZ 86033 2018-09-12
1467952762 Michael Ruddy Pharmacist Hwy 160 1/2 Mile South of Mile Post 394.3, Kayenta, AZ 86033 2018-02-14
1922516319 Xavier Kelton Nelson Spec/Tech, Pathology Highway 160 Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 2018-01-19
Find all providers in zip 86033

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528679354 Arizona Hospitalists, Pllc Emergency Medicine 10255 N 43rd St, Phoenix, AZ 85028-4108 2020-08-14
1154898435 Phoenix Physician Group, LLC Emergency Medicine 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 2018-10-25
1205328382 Darren Keith Johnson Emergency Medicine 601 El Dorado St, Kingman, AZ 86401-6224 2018-06-04
1396259636 Fire Medical Billing, LLC Emergency Medicine 207 N Gilbert Rd Ste 1, Gilbert, AZ 85234-5812 2017-11-22
1427570753 Buckskin Fire District Emergency Medicine 8500 Riverside Dr, Parker, AZ 85344-7001 2017-07-07
1699040824 Jennifer Leigh Hissett Emergency Medicine Corner of Route N 7 and N 12, Fort Defiance, AZ 86504-0589 2012-03-21
1649478967 Genna M Cammarata Emergency Medicine 36050 N 58th St, Cave Creek, AZ 85331-9162 2007-07-09
1285708172 William Fowler Fulton Jr. Emergency Medicine 2557 S Val Vista Dr, Gilbert, AZ 85295-6229 2006-11-20
1477641991 Lincoln Physician Billing, LLC Emergency Medicine 2500 W Utopia Rd Ste 100, Phoenix, AZ 85027-4172 2006-10-10
1891888517 Alliance Urgent Care Pllc Emergency Medicine 9897 W. Mcdowell Rd, Tolleson, AZ 85353 2006-10-02
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Competitor

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City KAYENTA
Zip Code 86033

Improve Information

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Dataset Information

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.

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