CENTRE AVENUE GROUP LLC NPI 1659408300

NPI Information

  • NPI: 1659408300
  • Provider Name: CENTRE AVENUE GROUP, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: EAST SIDE SURGERY CENTER
  • Address: 5800 CENTRE AVE
    PITTSBURGH, PA
    ZIP 15206
  • Phone: (412) 661-5500

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NPI Details

CENTRE AVENUE GROUP, LLC is an ambulatory surgical clinic center in Pittsburgh, PA. CENTRE AVENUE GROUP, LLC NPI is 1659408300. The provider is registered as an organization entity type.
The provider Is Doing Business As East Side Surgery Center.

The provider's business location address is:

5800 CENTRE AVE
PITTSBURGH, PA
ZIP 15206-710
Phone: (412) 661-5500

The provider's authorized official is Christopher Kolic .
The authorized official title is Ceo, and has the following contact phone number (412) 661-5500.

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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Destruction of lens tissue using laser (HCPCS:66710)

The enumeration date for this NPI number is 2/28/2007 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 SurgicalYes

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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