EXCELA HEALTH PHYSICIAN PRACTICES, INC. (NPI# 1164766473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164766473 |
| Entity Type | Organization |
| Organization Name | EXCELA HEALTH PHYSICIAN PRACTICES, INC. |
| Other Organization Name | EXCELA HEALTH OB-GYN |
| Practice Address |
100 Excela Health Dr Ste 302 Latrobe PA 15650-9001 |
| Mailing Address |
134 Industrial Park Rd Ste 1500 Greensburg PA 15601-8153 |
| Practice Telephone | 7245398581 |
| Practice Fax Number | 7245392739 |
| Mailing Telephone | 7248506933 |
| Mailing Fax Number | 7245224002 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | RENEE M VARNEY (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7248506933 |
| Is Organization Subpart | Y |
| Parent Organization Name | EXCELA HEALTH HOLDING COMPANY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Excela Health Ob-Gyn | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 870 Weatherwood Ln Ste 4, Greensburg, PA 156015899 | 7245398581 | 7245392739 |
| 56 Club Ln, Blairsville, PA 157177957 | 7244593187 | 7244593371 |
| 870 Weatherwood Ln Ste 1, Greensburg, PA 156015899 | 7248503150 | 7248503151 |
| 8775 Norwin Ave Ste D, North Huntingdon, PA 156422718 | 7248632660 | 7248632668 |
| 6521 Route 22, Delmont, PA 156262402 | 7244688764 | 7244688785 |
| 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 |
| 1083002661 | Excela Health Physician Practices, Inc. | Neurological Surgery | 100 Excela Health Dr Ste 203b, Latrobe, PA 15650-9001 | 2015-01-05 |
| 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 302 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427094358 | Francis L Defabo Md PC | Obstetrics & Gynecology | 911 Ligonier Street, Suite 205, Latrobe, PA 15650 | 2006-06-21 |
| 1922203371 | Bruce Barry Williams | Obstetrics & Gynecology | 1010 Ligonier St, Latrobe, PA 15650-1846 | 2007-06-17 |
| 1730218728 | Obgyn Inc | Obstetrics & Gynecology | 911 Ligonier St, Suite 205, Latrobe, PA 15650-1805 | 2007-03-05 |
| 1558387548 | Francis Leonard Defabo | Obstetrics & Gynecology | 911 Ligonier Street, Ste 205, Latrobe, PA 15650 | 2006-07-14 |
| 1427083872 | Tracy Jo Gemmell | Obstetrics & Gynecology | 911 Ligonier Street, Ste 205, Latrobe, PA 15650 | 2006-07-12 |
| 1932195609 | Stacey J Carlitz | Obstetrics & Gynecology | 1010 Ligonier St, Latrobe, PA 15650-1846 | 2005-09-27 |
| 1902803836 | Greg S Whorral | Obstetrics & Gynecology | 1010 Ligonier St, Latrobe, PA 15650-1882 | 2005-07-07 |
| 1669479481 | Robert L Donley | Obstetrics & Gynecology | 1010 Ligonier St, Latrobe, PA 15650-1882 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103069 | Kongoormutt Ramakrishna Bhat | Obstetrics & Gynecology | 3 Jamison Dr, York, PA 17402-2615 | 2020-08-03 |
| 1811515307 | St. Luke's Physician Group, Inc. | Obstetrics & Gynecology | 3311 Nazareth Rd Fl 1, Easton, PA 18045-2017 | 2020-07-10 |
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1184257826 | St. Luke's Physician Group Inc., Dba | Obstetrics & Gynecology | 2925 William Penn Hwy Ste 104, Easton, PA 18045-5283 | 2020-02-21 |
| 1821633694 | Julia Claire Moran | Obstetrics & Gynecology | 1800 Union Ave, Natrona Heights, PA 15065-2201 | 2019-11-15 |
| 1851957948 | Stacie Marie Rickley | Obstetrics & Gynecology | 1265 New Germany Rd, Summerhill, PA 15958-5301 | 2019-05-14 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1003387572 | Carissa Susan Mcilwain | Obstetrics & Gynecology | 25 Bala Ave Ste 205, Bala Cynwyd, PA 19004-3215 | 2018-12-10 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
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| 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.