Provider Demographics
NPI:1689617912
Name:CROSSEY, ROBERT A (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:CROSSEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3824 NORTHERN PIKE
Mailing Address - Street 2:STE 700
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2141
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:
Practice Address - Street 1:4044 ROUTE 130
Practice Address - Street 2:STE 200
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-7830
Practice Address - Country:US
Practice Address - Phone:724-744-2500
Practice Address - Fax:724-744-3338
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007871L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
202462OtherUPMC HEALTH PLAN
4399704OtherAETNA
P000253OtherGATEWAY HEALTH PLAN
518409OtherBLUE SHIELD
PA001442508Medicaid
080172835OtherRAILROAD MEDICARE
F72642Medicare UPIN
PA001442508Medicaid
PA001442508Medicaid