Provider Demographics
NPI:1477545598
Name:MCELMOYLE, WILLIAM E (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:MCELMOYLE
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 FLORAL VALE BLVD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5526
Mailing Address - Country:US
Mailing Address - Phone:215-845-0735
Mailing Address - Fax:
Practice Address - Street 1:407 FLORAL VALE BLVD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:215-750-7150
Practice Address - Fax:215-750-7153
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB12191200207Q00000X
PAOS 010838-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7456385OtherAETNA
PA8767144OtherCIGNA PA
PA1025429860001Medicaid
PA2122418000OtherKEYSTONE IBC
PAP00924254OtherRAILROAD MEDICARE
PA1438135OtherHIGHMARK BLUE SHIELD
PA30090226OtherKEYSTONE FIRST
PA2122418000OtherKEYSTONE IBC
PA060879R52Medicare PIN