EHPP CHESTNUT RIDGE LLC (NPI# 1437394558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437394558 |
| Entity Type | Organization |
| Organization Name | EHPP CHESTNUT RIDGE LLC |
| Other Organization Name | EXCELA CHESTNUT RIDGE DERRY |
| Practice Address |
555 Route 217 Suite 1 Latrobe PA 15650-3428 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7246942723 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD033841 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Excela Chestnut Ridge Derry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598908030 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 421 Route 22, Delmont, PA 15626-1637 | 2009-04-14 |
| 1558508267 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 501 Weldon St, Latrobe, PA 15650-1520 | 2009-01-16 |
| 1275770273 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 401 Main St, New Alexandria, PA 15670 | 2009-01-13 |
| 1841437001 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 300 Cameo Ln, Greensburg, PA 15601-9230 | 2009-01-09 |
| 1033356290 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2009-01-09 |
| 1093952251 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 56 Club Ln, Suite 203, Blairsville, PA 15717-7957 | 2009-01-09 |
| 1992940068 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 911 Ligonier St, 101, Latrobe, PA 15650-1805 | 2008-12-03 |
| Street Address |
555 ROUTE 217 SUITE 1 |
| City | LATROBE |
| State | PA |
| Zip Code | 15650-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714180 | Francis E Meyers | Family Medicine | 555 Route 217, Suite 5, Latrobe, PA 15650-3484 | 2005-07-20 |
| 1215373816 | Courtney Leigh Floyd | Family Medicine | 555 Route 217, Ste 1, Latrobe, PA 15650-3428 | 2013-05-22 |
| 1548504079 | Excela Health Physician Practices, Inc. | Family Medicine | 555 Route 217, Suite 1, Latrobe, PA 15650 | 2012-11-21 |
| 1962751594 | Penn Neuromuscular Diagnostics, LLC | Clinic/Center | 555 Route 217, Suite 3, Derry Professional Center, Latrobe, PA 15650-3428 | 2012-08-29 |
| 1396923009 | Excela Health Chestnut Ridge LLC | Clinic/Center | 555 Route 217, Latrobe, PA 15650-3484 | 2008-02-05 |
| 1659562395 | Jose Luis Mejia | Family Medicine | 555 Route 217, Suite 1, Latrobe, PA 15650-3428 | 2007-08-07 |
| 1033177423 | Chestnut Ridge Primary Care, Ltd | Family Medicine | 555 Route 217, Suite 5, Latrobe, PA 15650-3484 | 2006-05-03 |
| 1699737668 | Mary G Rectenwald | Physical Therapist | 555 Route 217, Suite 3, Latrobe, PA 15650-3484 | 2006-04-05 |
| 1659359545 | George M Gavin | Family Medicine | 555 Route 217, Suite 1, Latrobe, PA 15650-3428 | 2006-01-03 |
| 1912985771 | Robert L Davoli | Family Medicine | 555 Route 217, Latrobe, PA 15650-3484 | 2006-01-03 |
| Find all providers in the same location | ||||
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558508267 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 501 Weldon St, Latrobe, PA 15650-1520 | 2009-01-16 |
| 1992940068 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 911 Ligonier St, 101, Latrobe, PA 15650-1805 | 2008-12-03 |
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| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
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| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| 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.