EHPP CHESTNUT RIDGE LLC (NPI# 1033356290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033356290 |
| Entity Type | Organization |
| Organization Name | EHPP CHESTNUT RIDGE LLC |
| Other Organization Name | EXCELA CHESTNUT RIDGE LIGONIER |
| Practice Address |
117 W Wellington Aly Ligonier PA 15658-6201 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 7242386668 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD016675 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Excela Chestnut Ridge Ligonier | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598908030 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 421 Route 22, Delmont, PA 15626-1637 | 2009-04-14 |
| 1558508267 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 501 Weldon St, Latrobe, PA 15650-1520 | 2009-01-16 |
| 1275770273 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 401 Main St, New Alexandria, PA 15670 | 2009-01-13 |
| 1841437001 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 300 Cameo Ln, Greensburg, PA 15601-9230 | 2009-01-09 |
| 1093952251 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 56 Club Ln, Suite 203, Blairsville, PA 15717-7957 | 2009-01-09 |
| 1992940068 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 911 Ligonier St, 101, Latrobe, PA 15650-1805 | 2008-12-03 |
| 1437394558 | Ehpp Chestnut Ridge LLC | Non-Pharmacy Dispensing Site | 555 Route 217, Suite 1, Latrobe, PA 15650-3428 | 2008-12-03 |
| Street Address |
117 W WELLINGTON ALY |
| City | LIGONIER |
| State | PA |
| Zip Code | 15658-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134174246 | Heidemarie Kraemer Ross | Occupational Therapist | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2006-05-24 |
| 1346782299 | Darlene A Elliott | Physical Therapist | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2016-11-09 |
| 1144771510 | Rebecca L Puskar | Physical Therapist | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2016-10-20 |
| 1285184333 | Deanna R Sapalio | Occupational Therapist | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2016-10-12 |
| 1821548066 | Rodney L Rager | Physical Therapist | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2016-10-12 |
| 1801346051 | Tracy L Wheeler | Physical Therapist | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2016-10-12 |
| 1508316738 | Michelle L Thornton | Physical Therapist | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2016-10-12 |
| 1972053460 | Jordan L Vorrasi | Physical Therapy Assistant | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2016-10-07 |
| 1396295895 | Terrance J Kerestes | Physical Therapist | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2016-10-07 |
| 1598215089 | Matthew A Mosco | Physical Therapy Assistant | 117 W Wellington Aly, Ligonier, PA 15658-6201 | 2016-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679055859 | Diana Lynn Neiderhiser | Pharmacist | 113 S. Fairfield St., Ligonier, PA 15658 | 2018-09-04 |
| 1285185553 | Casey Ball Home Care, LLC | Home Health | 1344 Route 259, Ligonier, PA 15658 | 2016-10-20 |
| 1922122274 | Randall C Cook | Internal Medicine | 1869 Route 30 W, Ligonier, PA 15658 | 2007-03-19 |
| 1437231743 | Leonard M Kostley | Dentist | 201 South Fairfield Street, Ligonier, PA 15658 | 2006-10-19 |
| 1679511091 | Suzana Stepanek | Internal Medicine | 210 West Church Street, Ligonier, PA 15658 | 2006-06-04 |
| 1780645465 | Roxane Ethlyn Peiffer | Physical Therapist | 352 Railroad Street, Ligonier, PA 15658 | 2006-03-31 |
| 1659362572 | Carla Lynn Cox | Psychiatry & Neurology | 117 Juniper Lane, Ligonier Valley Learning Center Inc, Ligonier, PA 15658 | 2005-10-31 |
| 1134526817 | Tammy Kedzierski | Physical Therapist | 352 Railroad Street, Ligonier, PA 15658 | 2014-11-25 |
| 1437426657 | Amy Lynn Needham | Marriage & Family Therapist | 117 Juniper Lane, Ligonier, PA 15658 | 2011-11-17 |
| 1053404582 | Lisa Marie Valko | Occupational Therapist | 352 Railroad Street, Ligonier, PA 15658 | 2006-10-02 |
| Find all providers in zip 15658 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.