Robert E. Deacon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD069289L Issued in PA

Practice address

250 College Ave
Beaver, PA 15009-2706

Phone

(724) 774-4070

Fax

(724) 774-2872

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robertdeacon@hvhs.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heritage Valley Multispecialty Group, Inc.

  • Internal Medicine Physician
  • Beaver, PA
  • NPI 1528015401
  NPD (past)
• Heritage Valley Pediatrics, Inc.

  • Pediatrics Physician
  • Monaca, PA
  • NPI 1689621401
  NPD (past)
• Valley Medical Facilities Inc

  • General Acute Care Hospital
  • Beaver, PA
  • NPI 1063422053
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1245222496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COLLEGE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092706",
            "telephone_number": "724-774-4070",
            "fax_number": "724-774-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COLLEGE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092706",
            "telephone_number": "724-774-4070",
            "fax_number": "724-774-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACON",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD069289L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01782644",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Nadler MD PC
• Stephen Joseph Dauria, M.D.
• Renee C Davis, OTR/L
• Robert A Davis, D.M.D.
• DCP of Pennsylvania (Beaver Valley), Inc.
• Rhonda Deakin, RN
• Albert A Dedominicis III, MS,LBS
• Roman Y Dejesus, M.D.
• Dominic Joseph Deluigi, PH.D.
• Dennis P Clayton DMD

• Pediatrics Physician in Beaver, PA
• Providers in Beaver, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.