John J Distazio, D.P.M., P.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JOHN J DISTAZIO, D.P.M., P.C.

Practice address

640 Rodi Rd
Pittsburgh, PA 15235-4512

Phone

(412) 731-5500

Fax

(412) 731-5548

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Janice Shevlin

Title

Administrative Assistant

Phone

(412) 461-1108

Specialties & licenses 1

Addresses

Other names 1

• John J DiStazio, D.P.M.,P.C. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Distazio, DPM

  • Foot & Ankle Surgery Podiatrist
  • Homestead, PA
  • NPI 1366414088
  NPD (past)

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1831688159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E WATERFRONT DR STE 230",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201151",
            "telephone_number": "412-461-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 RODI RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152354512",
            "telephone_number": "412-731-5500",
            "fax_number": "412-731-5548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "733 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152282022",
            "country_code": "US",
            "telephone_number": "412-561-7828",
            "fax_number": "412-561-2339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 E Waterfront Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "PA",
            "postal_code": "151201151",
            "country_code": "US",
            "telephone_number": "412-461-1108",
            "fax_number": "412-461-5490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Highland Park Dr",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154018402",
            "country_code": "US",
            "telephone_number": "724-437-0982",
            "fax_number": "724-437-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN J DISTAZIO, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "SHEVLIN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "412-461-1108"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John J DiStazio, D.P.M.,P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.