Excela Health Physician Practices, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EXCELA HEALTH PHYSICIAN PRACTICES, INC

Doing business as

Excela Health Behavioral Health

Practice address

532 W Pittsburgh St
Greensburg, PA 15601

Phone

(724) 832-4450

Fax

(724) 830-6669

NPI assigned

Jun 22, 2006

Last updated

Aug 6, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

EXCELA HEALTH HOLDING COMPANYAs reported in NPPES

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

Authorized official

Name

Renee M Varney

Title

Credentialing Coordinator

Phone

(724) 850-6933

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Excela Health Behavioral Health Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations (25 of 68)

Practitioners 330

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.

• Mary C Allias, PA-C

  • Medical Physician Assistant
  • Youngwood, PA
  • NPI 1053371823
  NPD
• Alyssa McKenzie Arnold, CRNP

  • Adult Health Nurse Practitioner
  • Latrobe, PA
  • NPI 1376327403
  NPD
• Louis D Bottegal, CRNA

  • Certified Registered Nurse Anesthetist
  • Pittsburgh, PA
  • NPI 1801193099
  NPD
• Kayla Ellis

  • Family Nurse Practitioner
  • Greensburg, PA
  • NPI 1427428333
  NPD
• Halie Ferrenberg

  • Physician Assistant
  • Greensburg, PA
  • NPI 1053103036
  NPD
• Cara Leigh Haines, CRNA

  • Certified Registered Nurse Anesthetist
  • Greensburg, PA
  • NPI 1952655524
  NPD
• Staci Holmes, CRNA

  • Certified Registered Nurse Anesthetist
  • Greensburg, PA
  • NPI 1285086223
  NPD
• Indiana Xavier Judy, DO

  • Hospitalist Physician
  • Latrobe, PA
  • NPI 1134863590
  NPD
• Richard F Kucera, MD

  • Specialist
  • Greensburg, PA
  • NPI 1861498818
  NPD
• Ted A Matthews Jr., MD

  • Surgery Physician
  • Latrobe, PA
  • NPI 1669460333
  NPD
• Chandrasekhara. Rao Punukollu, MD

  • Gastroenterology Physician
  • Mt Pleasant, PA
  • NPI 1912014549
  NPD
• Bozhena Regalla, CRNA

  • Certified Registered Nurse Anesthetist
  • Pittsburgh, PA
  • NPI 1609009992
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1861438095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD STE 2300A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017328",
            "telephone_number": "724-689-1810",
            "fax_number": "724-850-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-832-4450",
            "fax_number": "724-830-6669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 S Church St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "PA",
            "postal_code": "156661702",
            "country_code": "US",
            "telephone_number": "724-832-4450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Mellon Way",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156501197",
            "country_code": "US",
            "telephone_number": "724-537-1650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCELA HEALTH PHYSICIAN PRACTICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELA HEALTH HOLDING COMPANY",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "724-850-6933"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015621860070",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excela Health Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Excela Health Physician Practices (Excela James N. Masterson, D.O.)
• Excela Health Physician Practices Inc
• Excela Health Physician Practices Inc (Excela Health General Surgery)
• Excela Health Physician Practices, Inc (EH Advanced Wound Center)
• Excela Health Physician Practices, Inc (Excela Health Cardiology)
• Excela Health Physician Practices, Inc. (Excela Health Greensburg Internal Medicine)
• Excela Health Physician Practices, Inc. (Walk-in Clinic)
• Excela Health Physician Practices, Inc. (Excela Health Westmoreland Primary Care)
• Excela Health Physician Practices, Inc.
• Excela Health Physician Practices, Inc. (Excela Health Greensburg Family Medicine)

• Psychiatry Physician in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.