Provider Demographics
NPI:1831159151
Name:ENGEL, JANELLE A Y (MD)
Entity type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:A Y
Last Name:ENGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:JANELLE
Other - Middle Name:ANNE
Other - Last Name:YANCEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2222 E. HIGHLAND AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4876
Mailing Address - Country:US
Mailing Address - Phone:602-257-4219
Mailing Address - Fax:602-257-8319
Practice Address - Street 1:1520 S. DOBSON ROAD
Practice Address - Street 2:SUITE 305
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202
Practice Address - Country:US
Practice Address - Phone:480-539-4000
Practice Address - Fax:480-833-3040
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11923207Y00000X
CAG32013207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
11923OtherAZ LICENSE
AZ238891Medicaid
G32013OtherCA LICENSE
23766Medicare PIN
AZ238891Medicaid