Individual provider Active NPI

Cynthia W Engelking, P.A.-C.

  • Physician Assistant
  • The Woodlands, TX
National Provider Identifier
1447344387
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01046 Issued in TX
Practice address
4840 W Panther Creek Dr
Ste 108
The Woodlands, TX 77381-3527
Phone
(281) 364-8130
Fax
(832) 381-2912
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01046 TX Primary

Addresses

Primary practice location

4840 W Panther Creek Dr
Ste 108
The Woodlands, TX 77381-3527

Mailing address

4840 W Panther Creek Dr
Ste 108
The Woodlands, TX 77381-3527
Phone (281) 364-8130

Other identifiers 1

IdentifierTypeStateIssuer
89N227OtherTXBCBS

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA01046TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Medical Associates of Texas, P.a. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1447344387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 W PANTHER CREEK DR",
            "address_2": "STE 108",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813527",
            "telephone_number": "281-364-8130",
            "fax_number": "832-381-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 W PANTHER CREEK DR",
            "address_2": "STE 108",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813527",
            "telephone_number": "281-364-8130",
            "fax_number": "832-381-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELKING",
        "first_name": "CYNTHIA",
        "middle_name": "W",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89N227",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.