Provider Demographics
NPI:1265410450
Name:MAHER, WILLIAM F (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:MAHER
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 1:4631 MERLE HAY RD
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-1962
Mailing Address - Country:US
Mailing Address - Phone:515-278-0949
Mailing Address - Fax:515-278-6721
Practice Address - Street 1:4631 MERLE HAY RD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-1962
Practice Address - Country:US
Practice Address - Phone:515-278-0949
Practice Address - Fax:515-278-6721
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03178207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0178178Medicaid
IA1265410450Medicaid
IA1178178Medicaid
IA2178178Medicaid
IA080122614OtherRR MEDICARE
IAG42275Medicare UPIN
IA1178178Medicaid