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Excela Health Physician Practices — NPI 1053562892, Greensburg, PA | NPI Central

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NPI 1053562892

OrganizationActive

Excela Health Physician Practices

NPI 1053562892 · Non-Pharmacy Dispensing Site · Greensburg, PA

Provider details

NPI number: 1053562892
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Organization subpart: Yes
Authorized official: Kenny Heine, Vp of Operations(858) 625-2990
License: OS007039E (PA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense OS007039E (PA)
Suppliers

Practice location

410 Pellis Rd

Suite 2a

Greensburg, PA 15601-4700

Phone: (724) 689-1070

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Excela James N. Masterson, D.O.

Registry dates

Enumerated: 2008-10-09
Last updated: 2015-07-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.