Central Outreach Wellness Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL OUTREACH WELLNESS CENTER

Practice address

127 Anderson St
Pittsburgh, PA 15212-5803

Phone

(412) 608-8313

Fax

(412) 920-5861

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Lane, DONPI 1568681336

Title

Owner

Phone

(412) 608-8313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Lane, DO

  • Infectious Disease Physician
  • Pittsburgh, PA
  • NPI 1568681336

  OH

  Medicare reassignment Care Compare group Authorized official
• Lily Marie Anderson

  • Physician Assistant
  • Pittsburgh, PA
  • NPI 1073310850
  Medicare reassignment Care Compare group NPD
• Megan Danielle Kuntz, DNP, FNP-C

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1508748500
  Medicare reassignment Care Compare group NPD
• Ronald Alan Mennow Jr., CRNP

  • Acute Care Nurse Practitioner
  • Greensburg, PA
  • NPI 1437435773
  Medicare reassignment Care Compare group NPD
• Tony Joseph Reola

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1144848680

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Damian Roman, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1306570163
  Medicare reassignment Care Compare group NPD
• Karin Elaine Anderson, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
  • NPI 1871862359
  Medicare reassignment Care Compare group NPD
• Tara Rachelle Doland, RN, CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1548672090
  Medicare reassignment Care Compare group NPD
• Christina S Gast I, NP

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1942891825
  Medicare reassignment Care Compare group NPD
• Ryan Hanson, M.D.

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1891769006
  Medicare reassignment Care Compare group NPD
• Sabina Hossain, ANP-BC

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1154757052

  OH

  Medicare reassignment Care Compare group NPD
• Maneesh Mehra, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1417136805

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1063804136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19425",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441190425",
            "telephone_number": "412-322-4151",
            "fax_number": "844-389-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ANDERSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125803",
            "telephone_number": "412-608-8313",
            "fax_number": "412-920-5861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3104 State St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165082820",
            "country_code": "US",
            "telephone_number": "814-619-4009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Lee Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441182557",
            "country_code": "US",
            "telephone_number": "216-360-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2360 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150012160",
            "country_code": "US",
            "telephone_number": "724-707-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153013822",
            "country_code": "US",
            "telephone_number": "724-249-2517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2680 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432043332",
            "country_code": "US",
            "telephone_number": "614-360-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL OUTREACH WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-608-8313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadley Centofanti, DC, IBCLC
• Thomas Centofanti, DC
• Central Cardiovascular Associates, P.C.
• Central Optique, Inc
• Central Outreach Resource and Referral Center
• Central Pittsburgh Psychiatric Services
• Centre Avenue Group, LLC
• Ronald William Cepek
• Regan D. Ceraso, RPH
• Connor Thomas Cerato, DO

• Internal Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.