Provider Demographics
NPI:1518965466
Name:CROWDER, WILLIAM E JR (M D)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:CROWDER
Suffix:JR
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE # MC4903
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-9800
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:
Practice Address - Street 1:400 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1167
Practice Address - Country:US
Practice Address - Phone:717-242-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4278174400000X
PA446152207V00000X
PAMD446152207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4204553OtherAETNA PPO
TX2843743-019OtherCIGNA
TX2843743-020OtherCIGNA
TX8J1221OtherBCBS PROVIDER #
TX047470204Medicaid
TX57151OtherAMERICAID
TX2843743-021OtherCIGNA
TX3231588OtherAETNA HMO
TX2843743-021OtherCIGNA
TX8J1221OtherBCBS PROVIDER #