EXCELA HEALTH PHYSICIAN PRACTICES, INC (NPI# 1942713409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942713409 |
| Entity Type | Organization |
| Organization Name | EXCELA HEALTH PHYSICIAN PRACTICES, INC |
| Other Organization Name | EXCELA SQUARE AT LATROBE PRIMARY CARE |
| Practice Address |
100 Excela Health Drive Latrobe PA 15650 |
| Mailing Address |
134 Industrial Park Rd Ste 1500 Greensburg PA 15601-8153 |
| Practice Telephone | 7248041725 |
| Practice Fax Number | 7248041727 |
| Mailing Telephone | 7248506933 |
| Mailing Fax Number | 7245224002 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-02-11 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Excela Square at Latrobe Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821225202 | Excela Health Physician Practices, Inc | Internal Medicine | 530 South St Fl 2, Greensburg, PA 15601-2775 | 2009-06-12 |
| 1497380885 | Excela Health Physician Practices, Inc | Family Medicine | 2618 Memorial Blvd Ste B-1, Connellsville, PA 15425-1419 | 2020-03-06 |
| 1578193991 | Excela Health Physician Practices, Inc | Surgery | 530 South St, Greensburg, PA 15601-2775 | 2020-01-24 |
| 1861438095 | Excela Health Physician Practices, Inc | Psychiatry & Neurology | 532 W Pittsburgh St, Greensburg, PA 15601 | 2006-06-22 |
| Street Address |
100 EXCELA HEALTH DRIVE |
| City | LATROBE |
| State | PA |
| Zip Code | 15650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558875716 | Latrobe Area Hospital, Inc. | Family Medicine | 100 Excela Health Drive, Latrobe, PA 15650 | 2017-11-27 |
| 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 |
| 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 |
| 1164642518 | Angela Elaine Felton | Occupational Therapist | Ligonier Street Extension Rr2 Box 14, Latrobe, PA 15650 | 2007-04-26 |
| Find all providers in zip 15650 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204958 | Nancy Giang Copeland | Family Medicine | 100 Excela Health Dr, Latrobe, PA 15650-9001 | 2020-04-17 |
| 1831654391 | Excela Health Physician Practices, Inc. | Family Medicine | 100 Excela Health Dr Ste 301, Latrobe, PA 15650-9001 | 2019-02-08 |
| 1578579009 | Kevin J Grosso | Family Medicine | 5927 State Route 981, Suite 8, Latrobe, PA 15650-2687 | 2006-08-01 |
| 1609853506 | Michael Weinberg | Family Medicine | 501 Weldon St, Latrobe, PA 15650-1520 | 2005-12-30 |
| 1093714180 | Francis E Meyers | Family Medicine | 555 Route 217, Suite 5, Latrobe, PA 15650-3484 | 2005-07-20 |
| 1407470172 | Jessie Milliken | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-05-29 |
| 1326662990 | Emily Elizabeth Kukura | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-05-29 |
| 1508488958 | Elliott Hirsch | Family Medicine | 121 W 2nd Ave, Latrobe, PA 15650-1068 | 2020-05-08 |
| 1538781984 | Abigail Irene Casey | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-05-08 |
| 1205457793 | Katherine Elizabeth Tyler Mcgowan | Family Medicine | One Mellon Way, Latrobe Family Medicine Residency, Latrobe, PA 15650-1197 | 2020-05-06 |
| Find all providers in LATROBE | ||||
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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.