Provider Demographics
NPI:1811999782
Name:VALLEY, ROBERT NELSON (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:NELSON
Last Name:VALLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 BLUE RUN RD
Mailing Address - Street 2:
Mailing Address - City:CHESWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15024-4005
Mailing Address - Country:US
Mailing Address - Phone:412-767-4556
Mailing Address - Fax:412-767-4556
Practice Address - Street 1:327 BLUE RUN RD
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-4005
Practice Address - Country:US
Practice Address - Phone:412-767-4556
Practice Address - Fax:412-767-4556
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039968L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011349200010Medicaid
OH2756290Medicaid
PACG2169Medicare PIN
PA0011349200010Medicaid
PAP00180130Medicare PIN
PAC33565Medicare UPIN