Organization Active NPI

William H. Lenz, DPM, PC

Doing business as Lenz Kruljac Distazio DPMS

  • Foot & Ankle Surgery Podiatrist
  • Homestead, PA
National Provider Identifier
1710911912
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
WILLIAM H. LENZ, DPM, PC
Doing business as
Lenz Kruljac Distazio DPMS
Practice address
495 Waterfront Dr E
Suite 230
Homestead, PA 15120-1140
Phone
(412) 461-1108
Fax
(412) 461-5490
NPI assigned
Jul 11, 2006
Last updated
Apr 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Mrs. Diane L Lynch
Title
Operations Manager
Phone
(412) 461-1108

Specialties & licenses 1

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

Addresses

Primary practice location

495 Waterfront Dr E
Suite 230
Homestead, PA 15120-1140

Mailing address

495 Waterfront Dr E
Suite 230
Homestead, PA 15120-1140
Phone (412) 461-1108

Other identifiers 8

IdentifierTypeStateIssuer
T28597OtherPAUPIN STEPHEN KRULJAC
T29930OtherPAUPIN JOHN DISTAZIO
T30166OtherPAUPIN WILLIAM LENZ
1366414088OtherPAINDIVIDUAL NPI JOHN DISTAZIO
1972582476OtherPAINDIVIDUAL NPI KATHLEEN O'CONNELL
1760454326OtherPAINDIVIDUAL NPI WILLIAM LENZ
1861464836OtherPAINDIVIDUAL NPI STEPHEN KRULJAC
455619OtherPABLUE SHIELD PROVIDER NUMBER

Other names 1

  • LENZ KRULJAC DISTAZIO DPMS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1710911912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WATERFRONT DR E",
            "address_2": "SUITE 230",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201140",
            "telephone_number": "412-461-1108",
            "fax_number": "412-461-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WATERFRONT DR E",
            "address_2": "SUITE 230",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201140",
            "telephone_number": "412-461-1108",
            "fax_number": "412-461-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H. LENZ, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "412-461-1108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN STEPHEN KRULJAC",
            "identifier": "T28597",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN JOHN DISTAZIO",
            "identifier": "T29930",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN WILLIAM LENZ",
            "identifier": "T30166",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI JOHN DISTAZIO",
            "identifier": "1366414088",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI KATHLEEN O'CONNELL",
            "identifier": "1972582476",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI WILLIAM LENZ",
            "identifier": "1760454326",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI STEPHEN KRULJAC",
            "identifier": "1861464836",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMBER",
            "identifier": "455619",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LENZ KRULJAC DISTAZIO DPMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.