Eugene K Engle, M.D.

Individual provider Active NPI Family Medicine Physician · Manheim, PA

NPI 1366426835 · NPPES record last updated Dec 12, 2020

Key facts

NPI
1366426835
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD019421E (PA)
Practice address
80 Doe Run Rd
Manheim, PA 17545-9314
Phone
(717) 664-0952
Fax
(717) 664-0955
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD019421EPAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD019421E PA Yes

Addresses

Primary practice location

80 Doe Run Rd
Manheim, PA 17545-9314

Mailing address

80 Doe Run Rd
Manheim, PA 17545-9314

Other identifiers

IdentifierTypeStateIssuer
01423702OtherPACAPITAL BLUE CROSS
032527OtherPAHIGHMARK BLUE SHIELD
C28135OtherPAHEALTH ASSURANCE
0006717300001MedicaidPA
P002641OtherPAGATEWAY HEALTH PLAN

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address eengle57469@phsdirect.pinnaclehealth.org

Other providers in Manheim, PA

All providers in Manheim, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.