Robert Engelhardt

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

Practice address

3075 Mallory St
Portage, IN 46368-7507

Phone

(219) 286-5892

NPI assigned

Feb 23, 2018

Last updated

Feb 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1063913184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 MALLORY ST",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463687507",
            "telephone_number": "219-286-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 MALLORY ST",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463687507",
            "telephone_number": "219-286-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHARDT",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Squires Dunevant, MD
• Dycora Transitional Health - Portage LLC
• Carol J Earl, COTA
• Amber L Edwards, SLP
• Joshua Eggleston, PTA
• Everest Healthcare Indiana, Inc. (Portage Dialysis Center)
• Leanna Carol Fandl, NP
• Amber M Figg, COTA
• Lori A Flesvig, PTA
• Mariah Frazier

• Intermediate Emergency Medical Technician in Portage, IN
• Providers in Portage, IN by specialty
• Intermediate Emergency Medical Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.