Mary A Engle, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

707 Issued in KY

Practice address

271 E Main St
Hazard, KY 41701-1939

Phone

(606) 439-1316

Fax

(606) 435-0752

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Flannery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mitchell Wicker Jr MD PSC

  • Internal Medicine Physician
  • Hazard, KY
  • NPI 1093718116
  NPD (past)
• Mitchell Wicker., Jr., M.D., P.S.C.

  • Internal Medicine Physician
  • Hazard, KY
  • NPI 1629249560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1023025384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 FIELDS LN",
            "city": "BUSY",
            "state": "KY",
            "postal_code": "417238849",
            "telephone_number": "606-487-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 E MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011939",
            "telephone_number": "606-439-1316",
            "fax_number": "606-435-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95004792",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FLANNERY",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raymond Elsoueidi, M.D.
• Ashley Brooke Elswick, APRN
• Michael Ely, LCSW
• Empowerment Solutions, Inc.
• Debra Engle
• Tanya Engle
• Sheila Anne Epperson, CCC/SLP
• Melanie Dawn Erwin-Pennington, PH.D., LPCC-S, NCC
• Jennifer Erwin, LPCC
• Jessica Estes

• Physician Assistant in Hazard, KY
• Providers in Hazard, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.