Excela Health Physician Practices, Inc.
Organization Active NPI Rheumatology Physician · Youngwood, PA
NPI 1013355635 · NPPES record last updated Jun 5, 2013
Key facts
- NPI
- 1013355635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- Legal business name
- EXCELA HEALTH PHYSICIAN PRACTICES, INC.
- Practice address
- 505 N 4TH St
Youngwood, PA 15697-1559 - Phone
- (724) 689-1835
- Fax
- (724) 850-8096
- NPI assigned
- Jun 5, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- EXCELA HEALTH HOLDING COMPANY
Authorized official
- Name
- Melissa Dishong
- Title
- Chief Financial Officer
- Phone
- (724) 527-8068
Practitioners 4
-
Deborah M Ferriero, CRNA
-
Curtis K Lawrence, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040322001393 | PA | Part B Supplier - Clinic/Group Practice | 6204737117 |
Receives reassigned benefits from 767 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | Yes |
Addresses
Primary practice location
505 N 4TH St
Youngwood, PA 15697-1559
Mailing address
134 Industrial Park Rd
Ste 2300a
Greensburg, PA 15601-7328
Phone (724) 689-1810
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001562186 | Medicaid | PA |
Other names
- Excela Health Rheumatology
Other providers in Youngwood, PA
- Edward L Christofano
- Derek Colgan
- Thomas Joseph Dececco
- Dr. David J. Mondock DMD PC
- Lauren Nicole Elda
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc..
- Marc S Federico
- Fonda Rondelle Frazier I
All providers in Youngwood, PA · Rheumatology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.