| Central Outreach Wellness Center | |
|
127 Anderson St Pittsburgh PA 15212-5803 | |
| (412) 608-8313 | |
| (412) 920-5861 |
| Full Name | Central Outreach Wellness Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 127 Anderson St, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Stacy Lane (OWNER) |
| Authorized Official Contact | 4126088313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Outreach Wellness Center Po Box 19425 Cleveland OH 44119-0425 Ph: (412) 322-4151 | Central Outreach Wellness Center 127 Anderson St Pittsburgh PA 15212-5803 Ph: (412) 608-8313 |
| NPI Number | 1063804136 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 01/13/2016 |
| Medicare PECOS PAC ID | 6507186772 |
|---|---|
| Medicare Enrollment ID | O20150529000928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063804136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carol L Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609830967 PECOS PAC ID: 2668459686 Enrollment ID: I20040707000543 |
| Provider Name | Stacy Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568681336 PECOS PAC ID: 4587635669 Enrollment ID: I20040803000628 |
| Provider Name | Marvin Mcgowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851382535 PECOS PAC ID: 2264485689 Enrollment ID: I20050225000407 |
| Provider Name | Joye Dado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750339420 PECOS PAC ID: 9537232426 Enrollment ID: I20080725000386 |
| Provider Name | Paul Debes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891175840 PECOS PAC ID: 3375669120 Enrollment ID: I20150910000652 |
| Provider Name | Janice Marie Kochik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366993065 PECOS PAC ID: 4981985454 Enrollment ID: I20161222000097 |
| Provider Name | Laryn D Rajkarnikar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982148284 PECOS PAC ID: 5092096719 Enrollment ID: I20180712002437 |
| Provider Name | Amber Grinnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083089783 PECOS PAC ID: 8921356643 Enrollment ID: I20180813000143 |
| Provider Name | Sarah Lynn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508384488 PECOS PAC ID: 7719236165 Enrollment ID: I20180820000949 |
| Provider Name | Kyle Patrick Duff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689052920 PECOS PAC ID: 6800190141 Enrollment ID: I20180822002445 |
| Provider Name | Kathleen Scholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821592643 PECOS PAC ID: 2062759525 Enrollment ID: I20190123000514 |
| Provider Name | Joann Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891218152 PECOS PAC ID: 2466790043 Enrollment ID: I20190206000484 |
| Provider Name | Alexander Norbert Tatangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891270997 PECOS PAC ID: 1355689977 Enrollment ID: I20190206001991 |
| Provider Name | Lisa Moondrop Pietrusza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962977066 PECOS PAC ID: 2769722909 Enrollment ID: I20190326000018 |
| Provider Name | Allison Mink Barrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184266140 PECOS PAC ID: 4183050198 Enrollment ID: I20200212000146 |
| Provider Name | Julie D Minch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629618616 PECOS PAC ID: 5193154326 Enrollment ID: I20200408004272 |
| Provider Name | Kori Manfredo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265943435 PECOS PAC ID: 8527483460 Enrollment ID: I20200810000610 |
| Provider Name | Marian Landau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518962158 PECOS PAC ID: 4981506326 Enrollment ID: I20200818004116 |
| Provider Name | Lisa M Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164794509 PECOS PAC ID: 6709101694 Enrollment ID: I20201001001268 |
| Provider Name | Jesse Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891923595 PECOS PAC ID: 7012148752 Enrollment ID: I20201008001832 |
| Provider Name | Kari Beth Coll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538766621 PECOS PAC ID: 6406269877 Enrollment ID: I20201231000945 |
| Provider Name | Charnele N Mathies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073983771 PECOS PAC ID: 4082028121 Enrollment ID: I20210201000381 |
| Provider Name | Andrea M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073103453 PECOS PAC ID: 8123427002 Enrollment ID: I20210526000365 |
| Provider Name | Kweilynn Michelle Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417531856 PECOS PAC ID: 5294131793 Enrollment ID: I20210909000024 |
| Provider Name | Brad Michael Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437783545 PECOS PAC ID: 7618342502 Enrollment ID: I20230406000839 |
| Provider Name | Shawna Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427451608 PECOS PAC ID: 3971828211 Enrollment ID: I20230417003095 |
| Provider Name | Katherine Boehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174269781 PECOS PAC ID: 2365800232 Enrollment ID: I20230626000452 |
| Provider Name | Monica Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326560491 PECOS PAC ID: 0042679524 Enrollment ID: I20230630000886 |
| Provider Name | Nicole Ohmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164119806 PECOS PAC ID: 7416302351 Enrollment ID: I20231012000110 |
| Provider Name | Damian Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306570163 PECOS PAC ID: 7315385226 Enrollment ID: I20240410002318 |
Heritage Valley Multispecialty Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Park Manor Blvd, Pittsburgh, PA 15205 Phone: 412-749-6920 Fax: 412-749-6779 | |
St. Clair Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Bower Hill Road, St Clair Hospital - Affiliate Billing - Pamalyn, Pittsburgh, PA 15243 Phone: 412-942-2548 | |
Pittsburgh Family Practice Assoc., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1517 Forbes Ave, Pittsburgh, PA 15219 Phone: 412-232-3555 Fax: 412-232-3523 | |
Allegheny Endocrinology Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 E North Avenue, Suite 205, Pittsburgh, PA 15212 Phone: 412-359-3426 Fax: 412-359-6974 | |
West End Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Neptune St, Pittsburgh, PA 15220 Phone: 412-921-7200 Fax: 412-921-4681 | |
Donna L. Knupp Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4381 Murray Ave, Pittsburgh, PA 15217 Phone: 412-521-2857 Fax: 412-521-4918 | |
University Of Pittsburgh Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 Centre Ave, First Floor, Pittsburgh, PA 15232 Phone: 412-647-3087 Fax: 412-647-4050 |