Provider Demographics
NPI:1457305633
Name:ENGH, C ANDERSON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:C
Middle Name:ANDERSON
Last Name:ENGH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHARLES
Other - Middle Name:A
Other - Last Name:ENGH
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2800 S SHIRLINGTON RD STE 1000
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3614
Mailing Address - Country:US
Mailing Address - Phone:703-769-8423
Mailing Address - Fax:703-799-5989
Practice Address - Street 1:2800 S SHIRLINGTON RD STE 1100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3605
Practice Address - Country:US
Practice Address - Phone:703-892-6500
Practice Address - Fax:703-521-3415
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041575207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1475047OtherCIGNA ID
5016308OtherFIRST HEALTH
00098OtherUNITED ID
502344OtherNCPPO
4304586OtherAETNA PPO
212639OtherMAMSI ID
0499710OtherAETNA HMO
148820100OtherDEPT OF LABOR ID
25090029OtherBLUE CROSS/BLUE SHIELD
099069OtherANTHEM ID
VA200032480Medicare PIN
099069OtherANTHEM ID
VAE67331Medicare UPIN