Provider Demographics
NPI:1043274343
Name:MCCAULEY, WILLIAM CRAIG (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CRAIG
Last Name:MCCAULEY
Suffix:
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 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:700 HIGH ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3198
Practice Address - Country:US
Practice Address - Phone:570-321-3580
Practice Address - Fax:570-321-3581
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015073E207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007832170003Medicaid
PA155026OtherHIGHMARK BLUE SHIELD
PA820731OtherFIRST PRIORITY HEALTH
PA19134OtherGEISINGER HEALTH PLAN
PA1496441OtherUNITEDHEALTHCARE
PA5781168OtherAETNA
PAC32138OtherHEALTHAMERICA
C32138Medicare UPIN
PA820731OtherFIRST PRIORITY HEALTH