Organization Active NPI

Horizon Spine & Pain

  • Interventional Pain Medicine Physician
  • Waynesburg, PA
National Provider Identifier
1467846683
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
HORIZON SPINE & PAIN
Practice address
3157 Mount Morris Rd
Suite 102
Waynesburg, PA 15370-8155
Phone
(724) 470-2025
Fax
(877) 706-7396
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Dr. Rekha Galla, MDNPI 1730477381
Title
Owner
Phone
(724) 470-2025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3157 Mount Morris Rd
Suite 102
Waynesburg, PA 15370-8155

Mailing address

6433 Interlaken Dr
MC Donald, PA 15057-3557
Phone (724) 470-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150803000444 PA Part B Supplier - Clinic/Group Practice 5991019036 Receives reassigned benefits from 2 practitioners
Practice locations: Waynesburg, PA

National Provider Directory

National Provider Directory

Locations

3157 Mount Morris Rd
Waynesburg, PA 15370

3157 Mount Morris Rd
Ste 102
Waynesburg, PA 15370
Phone (254) 702-0257

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1467846683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 INTERLAKEN DR",
            "city": "MC DONALD",
            "state": "PA",
            "postal_code": "150573557",
            "telephone_number": "724-470-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 MOUNT MORRIS RD",
            "address_2": "SUITE 102",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708155",
            "telephone_number": "724-470-2025",
            "fax_number": "877-706-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON SPINE & PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "GALLA",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-470-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.