Michael David Engelbert-Fenton, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102950-1206 Issued in UT

Practice address

150 S 1000 E
Salt Lake City, UT 84102-1443

Phone

(801) 363-4071

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1194701920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 SNOWVIEW DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986118",
            "telephone_number": "435-645-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 1000 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021443",
            "telephone_number": "801-363-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBERT-FENTON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "102950-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "102950-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.engelbert-fenton@direct.imail.org",
            "affiliation": "N",
            "address_1": "150 S 1000 E",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841021443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Brett Engar
• Richard Charles Engar, D.D.S.
• Selja Engar
• Thomas William Engar, MD
• Barbara J Engel
• Kimberly Kay Engelby, R.D
• Megan Jeanette Engelen, DO
• Robert William Engelen, D.O.
• Angela F Engels, CSW
• Rebecca Engels, M.D.

• Medical Physician Assistant in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.