NPIMap

Organization Active NPI

Allen a Dzambo Jr DPM

  • Foot & Ankle Surgery Podiatrist
  • Latrobe, PA
National Provider Identifier
1659557361
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
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
NPI assigned
Jan 11, 2008
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Dr. Allen Andrew Dzambo Jr., DPMNPI 1174503791
Title
Owner
Phone
(724) 539-3444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC004642L PA Primary

Addresses

Primary practice location

1200 Jefferson St
Latrobe, PA 15650-1915

Mailing address

1200 Jefferson St
Latrobe, PA 15650-1915
Phone (724) 539-3444

Other identifiers 1

IdentifierTypeStateIssuer
17663730003MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1659557361",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN A DZAMBO JR DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "DZAMBO",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-539-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004642L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17663730003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.