Excela Health Internal Medicine & Pediatrics

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD423578 Issued in PA

Legal business name

EXCELA HEALTH INTERNAL MEDICINE & PEDIATRICS

Practice address

421 Route 22
Delmont, PA 15626-1637

Phone

(724) 468-8764

Fax

(724) 468-8785

NPI assigned

Oct 4, 2006

Organization subpart

Yes

Parent organization

EXCELA HEALTH PHYSICIAN PRACTICES, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John M Sphon

Title

Vice President

Phone

(724) 830-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WPHC-Delmont Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Part of

Excela Health Connellsville Internal Med-Dr Tiberio

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Excela Health Physician Practices, Inc.

  • Multi-Specialty Clinic/Center
  • Greensburg, PA
  • NPI 1316072846
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1164517835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 ROUTE 22",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261637",
            "telephone_number": "724-468-8764",
            "fax_number": "724-468-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ROUTE 22",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261637",
            "telephone_number": "724-468-8764",
            "fax_number": "724-468-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELA HEALTH INTERNAL MEDICINE & PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELA HEALTH PHYSICIAN PRACTICES, INC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "SPHON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "724-830-8500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD423578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015621860027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WPHC-Delmont",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Edwards Family Chiropractic LLC
• Kevin A. Edwards, D.C.
• Ehpp Chestnut Ridge LLC
• Ernesty Chiropractic, Inc.
• Joseph Michael Eveges
• Deborah Finley
• Keri Lynn George, CRNP
• Kathleen Gilbert, PT
• Rosemary T Hydeman, DMD
• Mary Ann Hynes

• Internal Medicine Physician in Delmont, PA
• Providers in Delmont, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.