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Deactivated NPI 1730278797 Deactivated / Inactive NPI Male Practitioner

Michael D Engstrom , PA-C

Physician Assistant • Tucson, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Engstrom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2006
NPI Deactivation Date August 12, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Michael Engstrom, PA-C was a registered Physician Assistant practicing in Tucson, AZ. Throughout an active medical career spanning 13 years, Michael Engstrom provided care at the practice location at 4175 S ALAMO AVE until profile deactivation on 2019-08-12.

Practice Location & Contact Primary Location

Practice Address

4175 S Alamo Ave
Dmafb

Tucson, AZ 857074402

Telephone 5202282821
Fax 5202281522
Associated Practice Facility / Clinic
🏢 355th Medgrp-Davis-Monthan Facility NPI 1245210384

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
292 Specialists

Practicing in Tucson, AZ (3711 Statewide)

Telehealth Adoption Rate
10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 3441

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Troy Selby , PA-C

Physician Assistant

NPI 1346220860

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 12, 2019

Record deactivated on August 12, 2019

NPI Profile Active November 01, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 01, 2010

Registered at 4175 S ALAMO AVE, DMAFB, TUCSON, AZ 857074402 (Tel: 5202282821)

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Updated Business Mailing Address November 01, 2010

Registered at 4175 S ALAMO AVE, DMAFB, TUCSON, AZ 857074402 (Tel: 5202282821)

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Provider Name / Credentials Updated November 01, 2010

Recorded as MICHAEL ENGSTROM, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2010

Physician Assistant (License #3441 in AZ)

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Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730278797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: November 01, 2010
Deactivation Date: August 12, 2019

Mailing Address

4175 S Alamo Ave, Dmafb

Tucson, AZ 857074402

Phone: 5202282821

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.