MEDICARE: DR. WILLIAM E CROWDER JR. M. D.

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	174400000X	Specialist	E4278	TX
2	207V00000X	Obstetrics & Gynecology Physician	446152	PA
3	207V00000X	Obstetrics & Gynecology Physician	MD446152	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4204553	OTHER	TX	AETNA PPO
2	2843743-019	OTHER	TX	CIGNA
3	2843743-020	OTHER	TX	CIGNA
4	8J1221	OTHER	TX	BCBS PROVIDER #
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	57151	OTHER	TX	AMERICAID
7	2843743-021	OTHER	TX	CIGNA
8	3231588	OTHER	TX	AETNA HMO

General Provider Information

NPI Number	:	1518965466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM E CROWDER JR. M. D.

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE # MC4903
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-9800
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 HIGHLAND AVE
Second Line	:
City	:	LEWISTOWN
State	:	PA
Zip	:	17044-1167
Country	:	US
Telephone Number	:	717-242-4200
Fax Number	:

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	04/09/2025

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