NPIMap

Excela Health Physician Practices, Inc.

Organization Active NPI Pain Medicine (Anesthesiology) Physician · North Huntingdon, PA

NPI 1285016337 · NPPES record last updated Feb 11, 2019

Key facts

NPI
1285016337
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Practice address
8775 Norwin Ave
North Huntingdon, PA 15642-2718
Phone
(724) 832-5125
Fax
(724) 850-3145
NPI assigned
Jun 25, 2015
Organization subpart
Yes
Parent organization (as reported)
EXCELA HEALTH HOLDING COMPANY

Authorized official

Name
Renee M Varney
Title
Credentialing Coordinator
Phone
(724) 850-6933

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Tax ID family
Excela Health Connellsville Internal Med-Dr Tiberio (42 organizations share this tax ID)

Locations

100 Excela Health Dr
Ste 103
Latrobe, PA 15650
Phone (724) 804-1780

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207LP2900X Yes

Addresses

Primary practice location

8775 Norwin Ave
North Huntingdon, PA 15642-2718

Mailing address

134 Industrial Park Rd Ste 1500
Greensburg, PA 15601-8153
Phone (724) 850-6933

Other practice location 1

100 Excela Health Dr Ste 103
Latrobe, PA 15650-9001
Phone (724) 804-1780

Other names

  • Excela Health Advanced Pain Center Other name

Other providers in North Huntingdon, PA

All providers in North Huntingdon, PA · Pain Medicine (Anesthesiology) Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.