Stephen Paul Engard, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10003176 Issued in WA

Practice address

406 SE 131St Ave Ste 101
Vancouver, WA 98683-4031

Phone

(360) 253-2822

NPI assigned

Dec 5, 2006

Sex

Male

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

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.

• Fauquier Physician Practices LLC

  • Internal Medicine Physician
  • Warrenton, VA
  • NPI 1770916983
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336207612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SE 131ST AVE",
            "address_2": "SUITE A101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834004",
            "telephone_number": "360-253-2822",
            "fax_number": "360-253-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SE 131ST AVE STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834031",
            "telephone_number": "360-253-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGARD",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA10003176",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empowerme Rehabilitation, LLC
• Susan Benson Emrick, LCSW
• Richard Allen Enders Jr., PAC
• Elizabeth Eneas
• Peter Way Eng, RPH
• Kelly L Engebo, M.A.,SLP,CCC
• Jacqueline S. Engel, N.D., L.M.T.
• Joshua Engel
• Lori L Engel, RN
• Richard Engel Jr., RN

• Medical Physician Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.