Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHAD P ENICH, PA C
ActiveMR. CHAD P ENICH, PA C is a Physician Assistant healthcare provider located in URBANDALE, Iowa. NPI 1174510879 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · URBANDALE, IA
Registration Details
- NPI Number
- 1174510879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.832750100465 yrs)
- Last Updated
- May 24, 2022
- Licenses
-
001165 (IA)01165 (IA)001165 (IA)
Practice Information
- Address
-
2901 86TH STURBANDALE, IA, 503224201Browse IA providers · Browse ZIP 50322
- Phone
- 5152763406
- Fax
- 5152765141
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in URBANDALE, IA
| Name | Credential | NPI |
|---|---|---|
| ANDREA SCHAFFER | PA | 1033226428 |
| MS. SUSAN OVEREND KOEHLER | PA-C | 1861580235 |
| MRS. AUDREY K GRIES | PAC | 1245412204 |
| ZAYBA JABEEN HODA | PA | 1750698692 |
| PATRICK J KASPER | PA | 1407248370 |
| RACHEL HERSOM | PA-C | 1720461916 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.