Excela Health Physician Practices, Inc.
Organization Active NPI Family Medicine Physician · North Huntingdon, PA
NPI 1659959609 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1659959609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- EXCELA HEALTH PHYSICIAN PRACTICES, INC.
- Practice address
- 8791 Barnes Lake Rd Ste 101
North Huntingdon, PA 15642-3176 - Phone
- (724) 864-9400
- Fax
- (724) 864-8044
- NPI assigned
- Mar 31, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- EXCELA HEALTH HOLDING COMPANY
Authorized official
- Name
- Renee M Varney
- Title
- Credentialing Coordinator
- Phone
- (724) 850-6933
Practitioners 3
-
Todd A Hrbek, M.D.
-
Leslie Skweres, FNP-C
-
Elron J Wallace, MD
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 |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
8791 Barnes Lake Rd Ste 101
North Huntingdon, PA 15642-3176
Mailing address
8791 Barnes Lake Rd Ste 101
North Huntingdon, PA 15642-3176
Phone (724) 864-9400
Other providers in North Huntingdon, PA
- Evernorth Direct Health LLC
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc.
- Excela Health Quickcare LLC
- Express Scripts Pharmacy Inc
- Kelly Faddish
- Eric Wayne Farabaugh
All providers in North Huntingdon, PA · Family Medicine 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 Mar 31, 2021. 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.