JOHN J DISTAZIO, D.P.M., P.C. (NPI# 1831688159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831688159 |
| Entity Type | Organization |
| Organization Name | JOHN J DISTAZIO, D.P.M., P.C. |
| Other Organization Name | JOHN J DISTAZIO, D.P.M.,P.C. |
| Practice Address |
640 Rodi Rd Pittsburgh PA 15235-4512 |
| Mailing Address |
495 E Waterfront Dr Ste 230 Homestead PA 15120-1151 |
| Practice Telephone | 4127315500 |
| Practice Fax Number | 4127315548 |
| Mailing Telephone | 4124611108 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | JANICE SHEVLIN (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 4124611108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| John J DiStazio, D.P.M.,P.C. | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Highland Park Dr, Uniontown, PA 154018402 | 7244370982 | 7244375820 |
| 495 E Waterfront Dr Ste 230, Homestead, PA 151201151 | 4124611108 | 4124615490 |
| 733 Washington Rd, Pittsburgh, PA 152282022 | 4125617828 | 4125612339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316123052 | John J Distazio, D.p.m., P.C. | Podiatrist | 495 E Waterfront Drive, Suite 230, Homestead, PA 15120-1151 | 2008-01-11 |
| Street Address |
640 RODI RD |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15235-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582476 | Kathleen M Oconnell | Podiatrist | 640 Rodi Rd, Pittsburgh, PA 15235-4512 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000358 | Shirley Ann Campbell | Physical Therapy Assistant | 204 Pheasant Drive, Pittsburgh, PA 15235 | 2020-07-21 |
| 1932740537 | Janelle Doris Waller | Technician | 204 Kingston Dr., Pittsburgh, PA 15235 | 2019-10-04 |
| 1518477546 | Dana Abrah Dimatteo | Pharmacist | 12238 Frankstown Road, Pittsburgh, PA 15235 | 2017-10-04 |
| 1700309556 | Wesley David Cox | Optometrist | 645 Rodi Rd Ste 100, Pittsburgh, PA 15235 | 2017-07-24 |
| 1194257980 | Continuum Pediatric Nursing | Nursing Care | 645 Rodi Road, Building 3 Suite 201, Pittsburgh, PA 15235 | 2017-03-30 |
| 1518407717 | Akita Marie Donald | Counselor | 201 Penn Center Blvd Ste 555, Pittsburgh, PA 15235 | 2017-03-07 |
| 1902250780 | Girma Gutema Hundie | Physician Assistant | 431 Wilson Drive, Pittsburgh, PA 15235 | 2016-04-19 |
| 1073988093 | Kyoko Henson | Counselor | 412 Guylyn Drive, Pittsburgh, PA 15235 | 2015-12-02 |
| 1790027647 | Walter Lee Shaffer | Family Medicine | 309 Surrey Pl, Pittsburgh, PA 15235 | 2013-03-19 |
| 1730450925 | Kate Nicole Pompa | Counselor | 121 Erhardt Drive, Pittsburgh, PA 15235 | 2012-01-19 |
| Find all providers in zip 15235 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294884 | Active Living Products and Services | Durable Medical Equipment & Medical Supplies | 2620 Brownsville Rd, Pittsburgh, PA 15227-2061 | 2020-08-04 |
| 1902422504 | Satkar Medical Supplies Co | Durable Medical Equipment & Medical Supplies | 4411 Stilley Rd Ste 200b, Pittsburgh, PA 15227-1369 | 2020-06-19 |
| 1063031391 | Steel City Medical Supplies | Durable Medical Equipment & Medical Supplies | 3629 Brownsville Rd, Pittsburgh, PA 15227-3154 | 2020-04-16 |
| 1881255081 | Restorative Technologies, Lp | Durable Medical Equipment & Medical Supplies | 800 Vinial St Ste B304, Pittsburgh, PA 15212-5175 | 2019-06-27 |
| 1437672177 | Altamira Ltd. | Durable Medical Equipment & Medical Supplies | 517 Mcneilly Rd, Pittsburgh, PA 15226-2503 | 2017-07-25 |
| 1548798572 | Christin Renee Corporation | Durable Medical Equipment & Medical Supplies | 413 Pasadena Dr N, Pittsburgh, PA 15215-1834 | 2017-06-03 |
| 1295286607 | Continuum, LLC | Durable Medical Equipment & Medical Supplies | 162 Industry Dr, Pittsburgh, PA 15275-1014 | 2016-10-20 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1902267594 | Three Rivers Mothers' Milk Bank | Durable Medical Equipment & Medical Supplies | 3127 Penn Ave, Pittsburgh, PA 15201-1421 | 2016-03-10 |
| 1770944548 | Abililife | Durable Medical Equipment & Medical Supplies | 100 South Commons, Suite 102, Pittsburgh, PA 15212 | 2016-03-08 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15235 |
Please comment or provide details below to improve the information on JOHN J DISTAZIO, D.P.M., P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.