MEDICARE: MICHAEL A ENGLUND DO

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	207RC0000X	Cardiovascular Disease Physician	1705	WV
2	207RI0011X	Interventional Cardiology Physician	1705	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	060059803	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001714115	OTHER		MOUNTAIN STATE BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871548826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A ENGLUND DO

Provider Business Mailing Address
First Line	:	2000 MON HEALTH MEDICAL PARK DR STE 2300
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1168
Country	:	US
Telephone Number	:	304-599-8802
Fax Number	:	304-599-5607

Provider Business Practice Location Address
First Line	:	2000 MON HEALTH MEDICAL PARK DRIVE
Second Line	:	SUITE 2300
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-0000
Country	:	US
Telephone Number	:	304-599-8802
Fax Number	:	304-599-5607

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	07/06/2021

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Directions to “ MICHAEL A ENGLUND DO” Practice Location

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