EXCELA HEALTH PHYSICIAN PRACTICES, INC. (NPI# 1083002661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083002661 |
| Entity Type | Organization |
| Organization Name | EXCELA HEALTH PHYSICIAN PRACTICES, INC. |
| Other Organization Name | EXCELA HEALTH NEUROSURGERY |
| Practice Address |
100 Excela Health Dr Ste 203b Latrobe PA 15650-9001 |
| Mailing Address |
134 Industrial Park Rd Ste 1500 Greensburg PA 15601-8153 |
| Practice Telephone | 7245320866 |
| Practice Fax Number | 7245320869 |
| Mailing Telephone | 7248506933 |
| Mailing Fax Number | 7245224002 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | TIMOTHY E LOCH (VICE PRESIDENT/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7248308500 |
| Is Organization Subpart | Y |
| Parent Organization Name | EXCELA HEALTH HOLDING COMPANY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001562186 | 05 |
| Other Name | Type Code |
|---|---|
| Excela Health Neurosurgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831654391 | Excela Health Physician Practices, Inc. | Family Medicine | 100 Excela Health Dr Ste 301, Latrobe, PA 15650-9001 | 2019-02-08 |
| 1598220295 | Excela Health Physician Practices, Inc. | Family Medicine | 56 Club Ln Ste 203, Blairsville, PA 15717-7957 | 2019-02-06 |
| 1679045827 | Excela Health Physician Practices, Inc. | Internal Medicine | 508 S Church St Ste 100, Mt Pleasant, PA 15666-1702 | 2018-12-28 |
| 1164766473 | Excela Health Physician Practices, Inc. | Obstetrics & Gynecology | 100 Excela Health Dr Ste 302, Latrobe, PA 15650-9001 | 2012-11-27 |
| 1578814174 | Excela Health Physician Practices, Inc. | Audiologist | 522 W Newton St Ste 200, Greensburg, PA 15601-2820 | 2012-09-24 |
| 1952665481 | Excela Health Physician Practices, Inc. | Internal Medicine | 530 South St Ste G, Greensburg, PA 15601-2775 | 2012-06-29 |
| 1801095203 | Excela Health Physician Practices, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 530 South St Ste 380, Greensburg, PA 15601-2775 | 2007-07-16 |
| 1477648152 | Excela Health Physician Practices, Inc. | Internal Medicine | 800 Marguerite Rd, Greensburg, PA 15601-8555 | 2006-10-04 |
| 1538797535 | Excela Health Physician Practices, Inc. | Family Medicine | 155 Mount Pleasant Rd, West Newton, PA 15089-1839 | 2020-03-27 |
| 1740816008 | Excela Health Physician Practices, Inc. | Family Medicine | 443 Frye Farm Rd, Greensburg, PA 15601-2338 | 2020-03-19 |
| Street Address |
100 EXCELA HEALTH DR STE 203B |
| City | LATROBE |
| State | PA |
| Zip Code | 15650-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849429 | Diane Louise Gabler | Technician | 936 Unity Street, Latrobe, PA 15650 | 2019-09-06 |
| 1518529379 | Living Essential Coaching, LLC | Health Educator | 128 Innovative Lane, Latrobe, PA 15650 | 2019-07-02 |
| 1568931756 | Camille Velazquez | Psychologist | 5954 Pa-981, Latrobe, PA 15650 | 2018-11-16 |
| 1942713409 | Excela Health Physician Practices, Inc | Family Medicine | 100 Excela Health Drive, Latrobe, PA 15650 | 2017-11-07 |
| 1881048692 | Brittney Saxinger | Pharmacist | 200 Mountain Laurel Plz, Latrobe, PA 15650 | 2016-04-18 |
| 1316193832 | Michelle Sue Culler | Nurse Practitioner | 555 Rt. 217, Latrobe, PA 15650 | 2008-08-15 |
| 1558529420 | Dennis Blasiele | Dentist | 1015 Ligonier St, Latrobe, PA 15650 | 2008-05-28 |
| 1508053893 | Assisted Living Concepts Inc | Assisted Living Facility | 2021 James Street, Latrobe, PA 15650 | 2007-10-01 |
| 1144436734 | Mary Elizabeth Griffin | Psychologist | 2906 Ligonier St. Ext--911 Address, Latrobe, PA 15650 | 2007-05-14 |
| 1023230836 | Anna Marie Pianko | Physical Therapist | 535 Mcfarland Road, Latrobe, PA 15650 | 2007-05-02 |
| Find all providers in zip 15650 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754510 | Isabela Marlene Tetino | Neurological Surgery | 1029 Maplewood Dr, Canonsburg, PA 15317-6058 | 2019-11-08 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1780006874 | Donald Reigel | Neurological Surgery | 1139 Links Way, Gibsonia, PA 15044-7725 | 2014-01-09 |
| 1962832782 | Ronald Larry Paul | Neurological Surgery | 5550 Nursery Road, Dover, PA 17315 | 2013-11-14 |
| 1457787434 | Allegheny Clinic | Neurological Surgery | 575 Coal Valley Rd Ste 260, Clairton, PA 15025-3716 | 2013-09-23 |
| 1144666348 | Sean Patrick Polster | Neurological Surgery | 203 Lothrop St Ste 521, Pittsburgh, PA 15213-2548 | 2013-05-14 |
| 1225370869 | Endrit Ziu | Neurological Surgery | 929 N 29th St, Apt 103, Philadelphia, PA 19130-1110 | 2013-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EXCELA HEALTH PHYSICIAN PRACTICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.