Edgeworth Commons Group LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1777 Issued in PA

Legal business name

EDGEWORTH COMMONS GROUP LLC

Doing business as

Surgery Center at Edgworth Commons

Practice address

301 Ohio River Blvd
Suite 100
Sewickley, PA 15143-1300

Phone

(412) 741-1170

NPI assigned

Jun 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Deanna Cunningham, R.N., B.A.

Title

Clinical Director

Phone

(412) 741-1170

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Surgery Center at Edgworth Commons Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

The Surgery Center at Edgeworth CommonsCCN 39C0001184

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Valley Medical Facilities, Inc.

  dba Sewickley Valley Hospital, Staunton Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bellevue, PA
  • NPI 1730221870

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053356436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD",
            "address_2": "SUITE 100",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300",
            "telephone_number": "412-741-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD",
            "address_2": "SUITE 100",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300",
            "telephone_number": "412-741-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWORTH COMMONS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "412-741-1170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., B.A."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "1777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013391430001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0258",
            "identifier": "HIGHMARK",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2787108",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00265162",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000168322",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center at Edgworth Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Anderson Eaton, MD
• Heidi Jeanette Eberhart, LPC
• Mackenzie Ebersole
• Jill E. Eckert
• Edgeworth Anesthesia Associates PLLC
• Michael C Edmunds
• Education Center at DT Watson
• Anna Marie Edwards
• Corie Elizabeth Edwards, MS, LPC, NCC
• Elevated Mindset Solutions, LLC

• Ambulatory Surgical Clinic/Center in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.