Stephen L Engroff (NPI# 1366474314, PAC ID# 3577464056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
Nation Provider ID (NPI) | 1366474314 |
PAC ID by PECOS | 3577464056 |
Professional Enrollment ID | I20040116000957 |
Full Name | Stephen L Engroff |
Address |
200 W Beaver Ave Suite 100 State College PA 16801-4820 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
Graduation Year | 1996 |
Primary Specialty | MAXILLOFACIAL SURGERY |
Secondary Specialties | ORAL SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390268 | MOUNT NITTANY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
930 Bellefonte Ave, Suite 101, Lock Haven, PA 17745-2749 | ||
200 W Beaver Ave, Suite 100, State College, PA 16801-4820 |
Street Address |
200 W BEAVER AVE SUITE 100 |
City | STATE COLLEGE |
State | PA |
Zip | 16801-4820 |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas E Collins | Oral Surgery | Tri-county Oral-facial Surgeons, PC | 200 W Beaver Ave, State College, PA 16801-4820 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy E Flick | Physical Therapy | 2766 W College Ave, Suite 300, State College, PA 16801-2647 | |
Gregory A Edwards | Chiropractic | 2766 W College Ave, Suite 200, State College, PA 16801-2647 | |
Sharon L Pletcher | Podiatry | Sharon L. Pletcher, P.C., Inc | 1318 W College Ave, Family Foot Center, State College, PA 16801-2711 |
Connie Gay Powell | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
Khytam Dawood | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
Nancy C Van Saun | Clinical Social Worker | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
Jeremiah Hicks | Clinical Social Worker | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
Michael M Keil | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
Leta F Myers | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
Craig D Brummert | Chiropractic | 3051 Enterprise Dr, State College, PA 16801-2756 | |
Find all physicians in zip 16801 |
City | STATE COLLEGE |
Zip Code | 16801 |
Specialty | MAXILLOFACIAL SURGERY |
City + Specialty | STATE COLLEGE + MAXILLOFACIAL SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.