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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
3461 | AK | Allopathic & Osteopathic Physicians |
Street Address |
HWY 160 163 BUILDING KA2010 |
City | KAYENTA |
State | AZ |
Zip Code | 86033-0368 |
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 Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
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. |
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 |
Find all providers with the same taxonomy |
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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.