Healthcare Provider Details

I. General information

NPI: 1730134024
Provider Name (Legal Business Name): AMY E MCAULEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WEST HOSPITAL DRIVE
WHITERIVER AZ
85941
US

IV. Provider business mailing address

200 WEST HOSPITAL DRIVE
WHITERIVER AZ
85941
US

V. Phone/Fax

Practice location:
  • Phone: 928-338-4911
  • Fax: 928-338-3522
Mailing address:
  • Phone: 928-338-4911
  • Fax: 928-338-3522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036-077322
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-077322
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: