Provider Demographics
NPI:1396715918
Name:ENGELMANN, JOHN AUGUST JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:AUGUST
Last Name:ENGELMANN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 CROSSING WAY CT
Mailing Address - Street 2:APT-H
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7696
Mailing Address - Country:US
Mailing Address - Phone:336-480-7222
Mailing Address - Fax:
Practice Address - Street 1:2125 CROSSING WAY CT
Practice Address - Street 2:APT-H
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7696
Practice Address - Country:US
Practice Address - Phone:336-480-7222
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9701334207L00000X
MS12049207L00000X
VA0101056347207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G66208Medicare UPIN