NPIMap

Individual provider Active NPI

Matthew Ryan Woleslagle, D.O.

  • Family Medicine Physician
  • Latrobe, PA
National Provider Identifier
1770727000
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015840 Issued in PA
Practice address
100 Excela Health Dr Ste 201
Latrobe, PA 15650-9001
Phone
(724) 804-1725
Fax
(724) 804-1727
NPI assigned
Apr 30, 2009
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS015840 PA Primary

Addresses

Primary practice location

100 Excela Health Dr Ste 201
Latrobe, PA 15650-9001

Mailing address

100 Excela Health Dr Ste 201
Latrobe, PA 15650-9001
Phone (724) 804-1725

Other identifiers 1

IdentifierTypeStateIssuer
102749422MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthewwoleslagle@emg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120521000034 PA Practitioner - Family Practice 7315100880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Excela Health Dr
201 Excela SQ at Latrobe Primary Care
Latrobe, PA 15650-1197
Phone (724) 804-1730

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS015840PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Current Accepting new patients
Family Practice Medical Associate South Inc. Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Latrobe Area Hospital, Inc. Family Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1200 Brooks Ln
Ste 290
Jefferson Hls, PA 15025
Phone (412) 469-7010

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

100 Excela Health Dr
Ste 201
Latrobe, PA 15650
Phone (724) 804-1725

100 Excela Health Dr
Ste 301
Latrobe, PA 15650
Phone (724) 537-1480

Interoperability endpoints

  • Direct secure messaging: matthewwoleslagle@emg.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1770727000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 201",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-804-1725",
            "fax_number": "724-804-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 201",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-804-1725",
            "fax_number": "724-804-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLESLAGLE",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102749422",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthewwoleslagle@emg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "ES at Latrobe Primary Care Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "100 Excela Health Dr Ste 201",
            "city": "Latrobe",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156509001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.