STACEY A ROBERTSON DO
NPI 1346201274
Family Medicine in Bolivar, PA

Q: What is Stacey Robertson's NPI number?

The NPI number for Stacey Robertson is 1346201274. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Q: What is Stacey Robertson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Robertson was last updated on August 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2006

802 MCKINLEY ST, BOLIVAR MEDICAL CENTER, BOLIVAR, PA 15923(724) 676-4709(724) 676-4752 Get Directions Write a Review

NPPES record last updated: August 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Stacey A Robertson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY A ROBERTSON DO (NPI 1346201274) is an individual family medicine provider in Bolivar, Pennsylvania, licensed in Pennsylvania (O5004404L) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1346201274

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACEY A ROBERTSONCredential: DO

Location Address802 MCKINLEY ST, BOLIVAR MEDICAL CENTERBolivar, PA 15923

Mailing AddressPo Box 38Bolivar, PA 15923-0038 · (724) 676-4709 · Fax (724) 676-4752

Phone(724) 676-4709

Fax(724) 676-4752

Sole ProprietorNo

Enumeration DateMarch 30, 2006

Last NPPES UpdateAugust 25, 2011

✔ NPI 1346201274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · O5004404L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

802 MCKINLEY ST, Bolivar, PA 15923

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Other Identifiers 3

Medicaid101206165PA

Medicare UPINE70754

Medicare PIN155705

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDIANA CARE NETWORK

Family Medicine

802 MCKINLEY ST
BOLIVAR, PA 15923

Westmoreland County (724) 676-4709

INDIANA CARE NETWORK

Obstetrics & Gynecology

802 MCKINLEY ST
BOLIVAR, PA 15923

Westmoreland County (724) 676-4709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Robertson's NPI number?

The NPI number for Stacey Robertson is 1346201274. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Stacey Robertson located?

Stacey Robertson practices at 802 Mckinley St Bolivar Medical Center, Bolivar, PA 15923. The listed phone number is (724) 676-4709.

What is Stacey Robertson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stacey Robertson was last updated on August 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.