Healthcare Provider Details

I. General information

NPI: 1871572636
Provider Name (Legal Business Name): ROBERT BRIAN LOUTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 07/24/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HAWTHORNE DR SUITE 100
HOLLIDAYSBURG PA
16648
US

IV. Provider business mailing address

601 HAWTHORNE DR SUITE 100
HOLLIDAYSBURG PA
16648
US

V. Phone/Fax

Practice location:
  • Phone: 814-949-7280
  • Fax:
Mailing address:
  • Phone: 814-949-7280
  • Fax: 814-949-7283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD045155E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD045155E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: