SHANE THOMAS BEALER (NPI# 1154941409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154941409 |
| Entity Type | Individual |
| Full Name | SHANE THOMAS BEALER |
| Credential | DO |
| Practice Address |
1 Mellon Way Latrobe PA 15650-1197 |
| Mailing Address |
10 Honey Locust Rd Levittown PA 19056-1125 |
| Practice Telephone | 7245371207 |
| Mailing Telephone | 2679841162 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OT019811 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1 MELLON WAY |
| City | LATROBE |
| State | PA |
| Zip Code | 15650-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067717 | Steven D. Perry | Internal Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2005-07-19 |
| 1407470172 | Jessie Milliken | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-05-29 |
| 1326662990 | Emily Elizabeth Kukura | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-05-29 |
| 1538781984 | Abigail Irene Casey | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-05-08 |
| 1184244410 | Alexander Porter | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-04-16 |
| 1235791708 | Kyle Covert | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2019-07-03 |
| 1750940284 | Matthew Floyd Witte | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2019-06-09 |
| 1013576545 | Jessica Anne Witte | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2019-06-09 |
| 1942868484 | Kathyrn Janell Rickard | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2019-05-30 |
| 1275190985 | Tyler William Watson | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2019-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849429 | Diane Louise Gabler | Technician | 936 Unity Street, Latrobe, PA 15650 | 2019-09-06 |
| 1518529379 | Living Essential Coaching, LLC | Health Educator | 128 Innovative Lane, Latrobe, PA 15650 | 2019-07-02 |
| 1568931756 | Camille Velazquez | Psychologist | 5954 Pa-981, Latrobe, PA 15650 | 2018-11-16 |
| 1942713409 | Excela Health Physician Practices, Inc | Family Medicine | 100 Excela Health Drive, Latrobe, PA 15650 | 2017-11-07 |
| 1881048692 | Brittney Saxinger | Pharmacist | 200 Mountain Laurel Plz, Latrobe, PA 15650 | 2016-04-18 |
| 1316193832 | Michelle Sue Culler | Nurse Practitioner | 555 Rt. 217, Latrobe, PA 15650 | 2008-08-15 |
| 1558529420 | Dennis Blasiele | Dentist | 1015 Ligonier St, Latrobe, PA 15650 | 2008-05-28 |
| 1508053893 | Assisted Living Concepts Inc | Assisted Living Facility | 2021 James Street, Latrobe, PA 15650 | 2007-10-01 |
| 1144436734 | Mary Elizabeth Griffin | Psychologist | 2906 Ligonier St. Ext--911 Address, Latrobe, PA 15650 | 2007-05-14 |
| 1023230836 | Anna Marie Pianko | Physical Therapist | 535 Mcfarland Road, Latrobe, PA 15650 | 2007-05-02 |
| Find all providers in zip 15650 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204958 | Nancy Giang Copeland | Family Medicine | 100 Excela Health Dr, Latrobe, PA 15650-9001 | 2020-04-17 |
| 1831654391 | Excela Health Physician Practices, Inc. | Family Medicine | 100 Excela Health Dr Ste 301, Latrobe, PA 15650-9001 | 2019-02-08 |
| 1942713409 | Excela Health Physician Practices, Inc | Family Medicine | 100 Excela Health Drive, Latrobe, PA 15650 | 2017-11-07 |
| 1578579009 | Kevin J Grosso | Family Medicine | 5927 State Route 981, Suite 8, Latrobe, PA 15650-2687 | 2006-08-01 |
| 1609853506 | Michael Weinberg | Family Medicine | 501 Weldon St, Latrobe, PA 15650-1520 | 2005-12-30 |
| 1093714180 | Francis E Meyers | Family Medicine | 555 Route 217, Suite 5, Latrobe, PA 15650-3484 | 2005-07-20 |
| 1407470172 | Jessie Milliken | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-05-29 |
| 1326662990 | Emily Elizabeth Kukura | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-05-29 |
| 1508488958 | Elliott Hirsch | Family Medicine | 121 W 2nd Ave, Latrobe, PA 15650-1068 | 2020-05-08 |
| 1538781984 | Abigail Irene Casey | Family Medicine | 1 Mellon Way, Latrobe, PA 15650-1197 | 2020-05-08 |
| Find all providers in LATROBE | ||||
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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.