CHARLES W. STOTLER (NPI# 1912141748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912141748 |
| Entity Type | Organization |
| Organization Name | CHARLES W. STOTLER |
| Practice Address |
711 Caldwell Ave Portage PA 15946-1557 |
| Practice Telephone | 8147369628 |
| Practice Fax Number | 8147363797 |
| Mailing Telephone | 8147369628 |
| Mailing Fax Number | 8147363797 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | MRS. KAREN M SYBERT (BILLING COORDINATOR) |
| Authorized Official Telephone | 8147369628 |
| Authorized Official Credential | CMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
017069E | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007466700002 | 05 |
| Street Address |
711 CALDWELL AVE |
| City | PORTAGE |
| State | PA |
| Zip Code | 15946-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127989 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 800 High Street, Portage, PA 15946 | 2019-07-25 |
| 1649824947 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 700 Meade Street, Portage, PA 15946 | 2019-07-25 |
| 1770601247 | Marcie A. Kovalsky | Speech-Language Pathologist | 514 Orchard Street, Portage, PA 15946 | 2007-03-26 |
| 1790849875 | Donald E Nagy | Dentist | 716 Cambria St, Portage, PA 15946 | 2006-12-21 |
| 1649383951 | Conemaugh Health Initiatives | Family Medicine | 3670 Portage Street, Johnstown, PA 15946 | 2006-08-17 |
| 1851397707 | Maple Winds Care Center Co. LLC | Skilled Nursing Facility | 4112 Springhill Road, Portage, PA 15946 | 2005-06-24 |
| 1952436503 | Portage Area Ambulance Association | Ambulance | 655 North Railroad Ave, Portage, PA 15946-0237 | 2007-02-23 |
| 1942860556 | Ryan Thomas Scoran | Physical Therapist | 900 Orange Ave Ste 1, Portage, PA 15946-1103 | 2019-06-17 |
| 1598852402 | Joshua Thomas Madison | Physical Therapist | 900 Orange Ave, Suite 1, Portage, PA 15946-1103 | 2006-10-10 |
| 1245671189 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 900 Orange Ave, Suite 1, Portage, PA 15946-1103 | 2013-07-08 |
| Find all providers in zip 15946 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306075320 | Kalamazoo Nerve Center, Pllc | Clinic/Center | 2750 Old Centre Rd, Suite 145, Portage, MI 49024-4880 | 2009-07-12 |
| 1659524981 | Derek J Cripps LLC | Clinic/Center | 2817 New Pinery Rd, Portage, WI 53901-9257 | 2008-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434370 | Blue Mountain Regenerative Medicine Pllc | Clinic/Center | 124 E Main St., Fredericksburg, PA 17026-0152 | 2020-10-12 |
| 1134779473 | Specialty Medical Care Services, LLC | Clinic/Center | 18e S 7th St, Akron, PA 17501-1363 | 2019-09-18 |
| 1225688559 | Oneskin Dermatology LLC | Clinic/Center | 211 Grant Street, Chambersburg, PA 17201 | 2019-09-18 |
| 1992273890 | Sandpipermd, Inc. | Clinic/Center | 407 S 10th St Fl 2, Philadelphia, PA 19147-1274 | 2018-11-08 |
| 1578043592 | Greater Pittston Urology | Clinic/Center | 250 Kennedy Blvd Ste 2, Pittston, PA 18640-1814 | 2018-08-20 |
| 1871953737 | Fulton County Medical Center | Clinic/Center | 622 Water St, Orbisonia, PA 17243-9424 | 2016-03-04 |
| 1962872861 | Mb Integrative Medicine LLC | Clinic/Center | 6782 Germantown Ave, Philadelphia, PA 19119-2110 | 2015-10-05 |
| 1437528817 | Charles S. Yanofsky, Md | Clinic/Center | 120 Pelham Rd, Camp Hill, PA 17011-1352 | 2015-09-16 |
| 1134597735 | Rheumatology Care Specialists | Clinic/Center | 1786 Wilmington Pike Ste 100b, Glen Mills, PA 19342-8122 | 2015-09-13 |
| 1346639861 | Seraly Eye Care Associates LLC | Clinic/Center | 220 E Mcmurray Rd, Mc Murray, PA 15317-2948 | 2015-01-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARLES W. STOTLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.