MEDICARE: JOSHUA W ANGLE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1962118778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA W ANGLE PA-C

Provider Business Mailing Address
First Line	:	5264 COUNCIL ST NE STE 700
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-2477
Country	:	US
Telephone Number	:	319-363-9936
Fax Number	:	319-363-0520

Provider Business Practice Location Address
First Line	:	5264 COUNCIL ST NE STE 700
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-2477
Country	:	US
Telephone Number	:	319-363-9936
Fax Number	:	319-363-0520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2023
Last Update Date	:	06/03/2026

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