NPIMap

Organization Active NPI

Excela Health Chestnut Ridge LLC

  • Primary Care Clinic/Center
  • Latrobe, PA
National Provider Identifier
1396923009
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EXCELA HEALTH CHESTNUT RIDGE LLC
Practice address
555 Route 217
Latrobe, PA 15650-3484
Phone
(724) 694-2723
Fax
(724) 694-0383
NPI assigned
Feb 5, 2008
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EXCELA HEALTH PHYSICIAN PRACTICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. John M. Sphon
Title
Vice President
Phone
(724) 830-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

555 Route 217
Latrobe, PA 15650-3484

Mailing address

532 W Pittsburgh St
Greensburg, PA 15601-2239
Phone (724) 830-8500

National Provider Directory

National Provider Directory
Part of
Family Practice LTD

Locations

501 Weldon St
Latrobe, PA 15650
Phone (724) 537-0733

555 Route 217
Ste 5
Latrobe, PA 15650
Phone (724) 694-0272

555 State Route 217
Ste 1
Latrobe, PA 15650
Phone (724) 694-2723

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1396923009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 W PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012239",
            "telephone_number": "724-830-8500",
            "fax_number": "724-850-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUTE 217",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156503484",
            "telephone_number": "724-694-2723",
            "fax_number": "724-694-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELA HEALTH CHESTNUT RIDGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELA HEALTH PHYSICIAN PRACTICES",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.