EXCELA HEALTH PHYSICIAN PRACTICES, INC. (NPI# 1679045827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679045827 |
Entity Type | Organization |
Organization Name | EXCELA HEALTH PHYSICIAN PRACTICES, INC. |
Other Organization Name | EXCELA SQUARE FRICK PRIMARY CARE |
Practice Address |
508 S Church St Ste 100 Mt Pleasant PA 15666-1702 |
Mailing Address |
134 Industrial Park Rd Ste 1500 Greensburg PA 15601-8153 |
Practice Telephone | 7244234051 |
Practice Fax Number | 7245224002 |
Mailing Telephone | 7248506933 |
Mailing Fax Number | 7245224002 |
Enumeration Date | 2018-12-28 |
Last Update Date | 2019-01-17 |
Authorized Official Name | RENEE M VARNEY (LEAD 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Excela Health Frick Family Medicine | Doing Business As Name - Organization |
Excela Square Frick Primary Care | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
508 S Church St Ste 301, Mt Pleasant, PA 156661702 | 7246135211 | 7246135203 |
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 |
1083002661 | Excela Health Physician Practices, Inc. | Neurological Surgery | 100 Excela Health Dr Ste 203b, Latrobe, PA 15650-9001 | 2015-01-05 |
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 |
508 S CHURCH ST STE 100 |
City | MT PLEASANT |
State | PA |
Zip Code | 15666-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831655091 | Excela Health Physician Practices, Inc. | Psychologist | 508 S Church St Ste 100, Mt Pleasant, PA 15666-1702 | 2019-02-13 |
1184188096 | Excela Health Physician Practices, Inc.. | Family Medicine | 508 S Church St Ste 100, Mt Pleasant, PA 15666-1702 | 2019-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245759133 | Hrycko Chiropractic, Inc. | Chiropractor | 115 W. Main Street, Mt. Pleasant, PA 15666 | 2017-09-12 |
1013372002 | Joseph Marzano | Counselor | 3298 Richey Rd, Mt Pleasant, PA 15666 | 2015-12-18 |
1740610583 | Diana Lynn Gummo Crnp LLC | Nurse Practitioner | 607 N. Church St., Suite 2, Mt. Pleasant, PA 15666 | 2013-11-14 |
1669816930 | Mt. Pleasant Dental Associates PC | Dentist | 6571 Rt. 819, Mt. Pleasant, PA 15666 | 2013-04-17 |
1487926168 | Heather Marie Patterson | Physician Assistant | 828 West Main St, Mt Pleasant, PA 15666 | 2012-01-27 |
1083924872 | Mandee L Mikeska | Registered Nurse | 508 S Church St Ste 202, Mt Pleasant, PA 15666 | 2010-10-14 |
1346556032 | Gregory Bailey | Pharmacist | Rt 819 S, Mt. Pleasant, PA 15666 | 2010-08-19 |
1013176270 | Navarro Health Care P.C. | Specialist | 599 N Church Street, Mt Pleasant, PA 15666 | 2008-06-03 |
1982814414 | Donald Francis Nicoll | Social Worker | 140 Mizikar Road, Mount Pleasant, PA 15666 | 2007-05-23 |
1629197132 | Paula M Decarlo | Pharmacist | Route 819 South Box 1052, Eckerd Pharmacy, Mount Pleasant, PA 15666 | 2007-03-28 |
Find all providers in zip 15666 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104210582 | Utibe Effiong | Internal Medicine | 4851 E Pickard St Ste 1760, Mt Pleasant, MI 48858 | 2015-03-24 |
1982011615 | Malathy Tharumarajah | Internal Medicine | 2935 Health Pkwy Ste B, Mt Pleasant, MI 48858-8931 | 2014-07-15 |
1790102697 | Jeffrey A. Khabir, Md, Pllc | Internal Medicine | 1985 Parkland St, Mt Pleasant, MI 48858-6017 | 2014-03-28 |
1093138612 | Roper Saint Francis Physicians Network | Internal Medicine | 180 Wingo Way Ste 110, Mt Pleasant, SC 29464-1810 | 2014-02-03 |
1962676254 | Tannu Sahay | Internal Medicine | 4851 E Pickard St Ste 2070, Mt Pleasant, MI 48858-2039 | 2008-04-17 |
1477749208 | Mark Thomas Burbridge | Internal Medicine | 900 Bowman Rd Ste 103, Mt Pleasant, SC 29464-3218 | 2007-09-14 |
1568522001 | Serenity Internal Medicine, LLC | Internal Medicine | 570 Long Point Rd Ste 230, Mt Pleasant, SC 29464-7932 | 2006-12-12 |
1467530428 | Faris Peter Atchoo | Internal Medicine | 314 S Brown St, Mt Pleasant, MI 48858 | 2006-11-01 |
1093896029 | Larry Bennett Medical LLC | Internal Medicine | 217 W Broadway St, Mt Pleasant, MI 48858-2576 | 2006-10-18 |
1134132038 | Larry Michael Bennett | Internal Medicine | 217 West Broadway, Mt Pleasant, MI 48858 | 2006-08-14 |
Find all providers in MT PLEASANT |
City | MT PLEASANT |
Zip Code | 15666 |
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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.