Active NPI
Phillip L Engen, MD
- Pain Medicine (Anesthesiology) Physician
- Wheat Ridge, CO
National Provider Identifier
1003892670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 32563
- Practice address
- 7809 W 38TH Ave
Suite 200
Wheat Ridge, CO 80033-6109 - Phone
- (303) 463-6000
- Fax
- (303) 463-6001
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 32563 | CO | Primary |
Addresses
Primary practice location
7809 W 38TH Ave
Suite 200
Wheat Ridge, CO 80033-6109
Mailing address
2305 E Arapahoe Rd
Suite 260
Centennial, CO 80122-1522
Phone (720) 340-5518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01325638 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32563 | CO | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491004800000",
"number": "1003892670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 E ARAPAHOE RD",
"address_2": "SUITE 260",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801221522",
"telephone_number": "720-340-5518",
"fax_number": "720-489-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7809 W 38TH AVE",
"address_2": "SUITE 200",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336109",
"telephone_number": "303-463-6000",
"fax_number": "303-463-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEN",
"first_name": "PHILLIP",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2017-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CO",
"license": "32563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01325638",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.