Provider Demographics
NPI:1427031079
Name:MCELHAUGH, WILLIAM F (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:MCELHAUGH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E MORELAND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3541
Mailing Address - Country:US
Mailing Address - Phone:267-385-5538
Mailing Address - Fax:267-437-3176
Practice Address - Street 1:10 E MORELAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3541
Practice Address - Country:US
Practice Address - Phone:267-385-5538
Practice Address - Fax:267-437-3176
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010034L207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1454818OtherHIGHMARK BLUE SHIELD
PA30005652OtherKEYSTONE MERCY
PA0019371670003Medicaid
PA12945OS010034LOtherHEALTH PARTNERS
PACA1374OtherRAILROAD MEDICARE
PA3116874OtherAETNA
PA0193716705OtherAMERICHOICE
PA2140289000OtherKEYSTONE HEALTH PLAN EAST
PA2140289000OtherPERSONAL CHOICE
PAH71877Medicare UPIN
PA12945OS010034LOtherHEALTH PARTNERS