Allen a. Dzambo, Jr., DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC004642L Issued in PA

Legal business name

ALLEN A. DZAMBO, JR., DPM

Practice address

1200 Jefferson St
Latrobe, PA 15650-1915

Phone

(724) 539-3444

Fax

(724) 539-4133

NPI assigned

Dec 21, 2007

Last updated

Dec 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allen A Dzambo, D.P.M.NPI 1174503791

Title

Owner

Phone

(724) 539-3444

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen A Dzambo Jr., M.D.

  • Foot & Ankle Surgery Podiatrist
  • Latrobe, PA
  • NPI 1174503791
  NPD Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1235313537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JEFFERSON ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501915",
            "telephone_number": "724-539-3444",
            "fax_number": "724-539-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JEFFERSON ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501915",
            "telephone_number": "724-539-3444",
            "fax_number": "724-539-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN A. DZAMBO, JR., DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "DZAMBO",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-539-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004642L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017663730004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Alamo, RDN, LDN
• Cameron Albert
• Carolyn Lime Albert, LPC
• All American Sleep Alternatives LLC
• Allen a Dzambo Jr DPM
• Karen Troxler Allsup, M.D.
• Ann M Amatucci, MOT OTRL
• Paul William Ament, PHARMD
• Marcie Beth Anderson, SLP
• Amy Leah Andreassi, CRNP

• Foot & Ankle Surgery Podiatrist in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.