| Daniel N Fiumecaldo, DO | |
| 100 Excela Health Dr Ste 202, Latrobe, PA 15650-9001 | |
| (724) 537-7100 | |
| (724) 537-9847 | 
| Full Name | Daniel N Fiumecaldo | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 100 Excela Health Dr Ste 202, Latrobe, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720491020 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 1500 (Nebraska) | Secondary | 
| 208600000X | Surgery | OS021726 (Pennsylvania) | Primary | 
| Entity Name | Excela Health Physician Practices, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Daniel N Fiumecaldo, DO 100 Excela Health Dr Ste 202, Latrobe, PA 15650-9001 Ph: (724) 537-7100 | Daniel N Fiumecaldo, DO 100 Excela Health Dr Ste 202, Latrobe, PA 15650-9001 Ph: (724) 537-7100 | 
| Ted A Matthews Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Excela Health Dr Ste 202, Latrobe, PA 15650 Phone: 724-537-7100 Fax: 724-537-9847 | |
| Dr. Dana R Tyrrell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Excela Health Dr Ste 202, Latrobe, PA 15650 Phone: 724-537-7100 Fax: 724-537-9847 |