EDGEWORTH COMMONS GROUP LLC NPI 1053356436

NPI Information

  • NPI: 1053356436
  • Provider Name: EDGEWORTH COMMONS GROUP LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SURGERY CENTER AT EDGWORTH COMMONS
  • CLIA Number: 39D1035197
  • Address: 301 OHIO RIVER BLVD
    SUITE 100
    SEWICKLEY, PA
    ZIP 15143
  • Phone: (412) 741-1170

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NPI Details

EDGEWORTH COMMONS GROUP LLC is an ambulatory surgical clinic center in Sewickley, PA. EDGEWORTH COMMONS GROUP LLC NPI is 1053356436. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgery Center At Edgworth Commons.

The provider's business location address is:

301 OHIO RIVER BLVD
SUITE 100
SEWICKLEY, PA
ZIP 15143-300
Phone: (412) 741-1170

The provider's authorized official is Deanna Cunningham .
The authorized official title is Clinical Director and has the following contact phone number (412) 741-1170.

The CLIA number assigned to this NPI record is 39D1035197 - community clinic with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of tendon, finger, and/or palm of hand (HCPCS:26145)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Extensive removal of growth of soft tissue structures in palm side of wrist (HCPCS:25115)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Repair of chronic torn shoulder rotator cuff (HCPCS:23412)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Relocation of tendon of forearm and/or wrist with grafts (HCPCS:25312)

The enumeration date for this NPI number is 6/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical1777PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013391430001MEDICAIDPENNSYLVANIA
2P00265162OTHERPENNSYLVANIARAILROAD MEDICARE
3000000168322OTHERPENNSYLVANIAUNISON
4HIGHMARKOTHERPENNSYLVANIA0258
52787108OTHERPENNSYLVANIACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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