MICHAEL DAVID ENGELBERT-FENTON PA-C
NPI 1194701920
Physician Assistant - Medical in Salt Lake City, UT

Active since December 22, 2005
150 S 1000 E, SALT LAKE CITY, UT 84102(801) 363-4071 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael David Engelbert-fenton Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DAVID ENGELBERT-FENTON PA-C (NPI 1194701920) is an individual medical provider in Salt Lake City, Utah, licensed in Utah (102950-1206) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1194701920
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL DAVID ENGELBERT-FENTONCredential: PA-C
Location Address150 S 1000 ESalt Lake City, UT 84102-1443
Mailing Address6275 Snowview DrPark City, UT 84098-6118 · (435) 645-7852
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
NPI 1194701920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 102950-1206
Also ListedFamily MedicineTaxonomy 207Q00000X · License 102950-1206 (UT)
150 S 1000 E, Salt Lake City, UT 84102

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
150 S 1000 E
SALT LAKE CITY, UT 84102
Social Worker
150 S 1000 E
SALT LAKE CITY, UT 84102
Ophthalmology
150 S 1000 E, STE 100
SALT LAKE CITY, UT 84102
Optometrist
150 S 1000 E
SALT LAKE CITY, UT 84102
Family Medicine
150 S 1000 E
SALT LAKE CITY, UT 84102
Clinic/Center (Multi-Specialty)
150 S 1000 E
SALT LAKE CITY, UT 84102
Pediatrics (Pediatric Infectious Diseases)
150 S 1000 E
SALT LAKE CITY, UT 84102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Engelbert-fenton's NPI number?

The NPI number for Michael Engelbert-fenton is 1194701920. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Michael Engelbert-fenton located?

Michael Engelbert-fenton practices at 150 S 1000 E, Salt Lake City, UT 84102. The listed phone number is (801) 363-4071.

What is Michael Engelbert-fenton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michael Engelbert-fenton was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.