OrganizationActive
Charles W. Stotler
NPI 1912141748 · Medical Specialty Clinic/Center · Portage, PA
Provider details
- NPI number
- 1912141748
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karen Sybert, Billing Coordinator(814) 736-9628
- License
- 017069E (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
711 Caldwell Ave
Portage, PA 15946-1557
Phone: (814) 736-9628
Fax: (814) 736-3797
Street-level locationGet directions
Mailing address
711 Caldwell Ave
Portage, PA 15946-1557
Registry dates
- Enumerated
- 2009-04-23
- Last updated
- 2009-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.