Central Outreach Wellness Center
NPI 1063804136 · Internal Medicine Physician · Pittsburgh, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1063804136
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacy Lane, Owner(412) 608-8313
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 2040 Lee RdCleveland Heights, OH 44118-2557Phone: (216) 360-1000
- 2680 W Broad StColumbus, OH 43204-3332Phone: (614) 360-2900
- 2360 Hospital DrAliquippa, PA 15001-2160Phone: (724) 707-1155
- 3104 State StErie, PA 16508-2820Phone: (814) 619-4009
- 817 Jefferson AveWashington, PA 15301-3822Phone: (724) 249-2517
Registry dates
- Enumerated
- 2015-02-26
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.