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CHARLES W. STOTLER
NPI 1912141748
Clinic/Center - Medical Specialty in Portage, PA

Active since April 23, 2009
711 CALDWELL AVE, PORTAGE, PA 15946(814) 736-9628(814) 736-3797 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles W. Stotler NPPES

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

CHARLES W. STOTLER (NPI 1912141748) is a healthcare organization registered as a medical specialty in Portage, Pennsylvania and active in the NPI registry since April 2009. The organization lists Karen M Sybert, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1912141748
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCHARLES W. STOTLER
Location Address711 CALDWELL AVEPortage, PA 15946-1557
Mailing Address711 Caldwell AvePortage, PA 15946-1557 · (814) 736-9628 · Fax (814) 736-3797
Phone(814) 736-9628
Fax(814) 736-3797
Organization SubpartNo
Authorized OfficialKaren M SybertBilling Coordinator · (814) 736-9628
Enumeration DateApril 23, 2009
✔ NPI 1912141748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in PA · 017069E
Definition
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).
711 CALDWELL AVE, Portage, PA 15946
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Other Identifiers 2

Medicare PIN1114998333PA
Medicaid0007466700002PA

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 Charles W. Stotler's NPI number?

The NPI number for Charles W. Stotler is 1912141748. It was assigned to this organization in the NPPES registry on April 23, 2009.

Where is Charles W. Stotler located?

Charles W. Stotler is located at 711 Caldwell Ave, Portage, PA 15946. The listed phone number is (814) 736-9628.

What is Charles W. Stotler's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Charles W. Stotler was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.