EXCELA HEALTH PHYSICIAN PRACTICES, INC.. (NPI# 1316118268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316118268 |
| Entity Type | Organization |
| Organization Name | EXCELA HEALTH PHYSICIAN PRACTICES, INC.. |
| Practice Address |
505 N 4th St Youngwood PA 15697-1558 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7249251211 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2012-10-22 |
| 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 | MD036167 | PA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188096 | Excela Health Physician Practices, Inc.. | Family Medicine | 508 S Church St Ste 100, Mt Pleasant, PA 15666-1702 | 2019-01-24 |
| Street Address |
505 N 4TH ST |
| City | YOUNGWOOD |
| State | PA |
| Zip Code | 15697-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457347338 | Edward L Christofano | Pharmacist | 505 N 4th St, D/b/a Haydens Pharmacy, Youngwood, PA 15697-1558 | 2005-09-26 |
| 1013355635 | Excela Health Physician Practices, Inc. | Internal Medicine | 505 N 4th St, Youngwood, PA 15697-1559 | 2013-06-05 |
| 1912182718 | Excela Health Physician Practices, Inc. | Physical Medicine & Rehabilitation | 505 N 4th St, Youngwood, PA 15697-1559 | 2007-12-31 |
| 1366635617 | Mary A Hayden | Pharmacist | 505 N 4th St, Youngwood, PA 15697-1558 | 2007-08-21 |
| 1427126226 | Christofano Associates LLC | Pharmacy | 505 N 4th St, Youngwood, PA 15697-1559 | 2006-12-01 |
| 1730255118 | Tri-county Occupantional Medicine PC | Internal Medicine | 505 N 4th St, Youngwood, PA 15697-1529 | 2006-11-28 |
| 1841366325 | Andrew M Stroh | Internal Medicine | 505 N 4th St, Youngwood, PA 15697-1529 | 2006-11-28 |
| 1750477907 | Excela Health Physician Practices, Inc. | Internal Medicine | 505 N 4th St, Youngwood, PA 15697-1558 | 2006-10-05 |
| 1346208972 | Arthur T Androkites | Physical Medicine & Rehabilitation | 505 N 4th St, Youngwood, PA 15697-1559 | 2006-05-03 |
| 1669447918 | Steven E. Mills | Internal Medicine | 505 N 4th St, Youngwood, PA 15697-1558 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295745644 | Marc Federico Pt LLC | Physical Therapist | 621 South Fifth Street, Suite B, Youngwood, PA 15697 | 2006-08-08 |
| 1679690036 | Dr. David J. Mondock Dmd PC | Dentist | 621 S 5th St, Youngwood, PA 15697-1112 | 2007-03-23 |
| 1184610115 | Marc S Federico | Physical Therapist | 621b S 5th St, Youngwood, PA 15697-1112 | 2005-09-26 |
| 1477944494 | David Mondock | Dentist | 621 S 5th St, Youngwood, PA 15697-1112 | 2015-02-12 |
| 1689678518 | Stephen Kelly | Chiropractor | 403 S 3rd St, Youngwood, PA 15697-1154 | 2005-06-09 |
| 1164460267 | Bompiani Chiropractic Clinic | Chiropractor | 403 S 3rd St, Youngwood, PA 15697-1154 | 2006-06-02 |
| 1356345276 | Anthony Louis Bompiani | Chiropractor | 403 S 3rd St, Youngwood, PA 15697-1154 | 2005-06-09 |
| 1477579894 | Bayers Pharmacy | Pharmacy | 1 N 4th St, Youngwood, PA 15697-1305 | 2006-07-15 |
| 1033211727 | Gregory S Hatalowich | Podiatrist | 12 N 4th St, Youngwood, PA 15697-1306 | 2006-09-02 |
| 1326110321 | Thomas Joseph Dececco | Dentist | 217 North Fifth Street, Youngwood, PA 15697-1317 | 2006-11-14 |
| Find all providers in zip 15697 | ||||
| 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 |
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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.