Provider Demographics
NPI:1144286774
Name:MCDONALD, WILLIAM G III (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:G
Last Name:MCDONALD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 226
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-0226
Mailing Address - Country:US
Mailing Address - Phone:812-933-3765
Mailing Address - Fax:812-933-3766
Practice Address - Street 1:26 SIX PINE RANCH RD.
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-1399
Practice Address - Country:US
Practice Address - Phone:812-933-3765
Practice Address - Fax:812-933-3766
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055711A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200372480Medicaid
IN200372480Medicaid
IN000000322039OtherBCBS
INH59094Medicare UPIN