Provider Demographics
NPI:1245222801
Name:CATALDI, WILLIAM GUGLIELMO (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GUGLIELMO
Last Name:CATALDI
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 1:1331 WILDERNESS DR
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2945
Mailing Address - Country:US
Mailing Address - Phone:219-322-1450
Mailing Address - Fax:
Practice Address - Street 1:1331 WILDERNESS DR
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2945
Practice Address - Country:US
Practice Address - Phone:219-322-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02000476A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100142360Medicaid
IL0090000854OtherBCBS GROUP NUMBER
D95522Medicare UPIN
IN100142360Medicaid
IN140230ZZMedicare ID - Type Unspecified