John J Distazio is a Homestead, Pennsylvania based male podiatrist who is specialized in Podiatric Foot & Ankle Surgery. Active license number of John J Distazio for Podiatric Foot & Ankle Surgery is SC002842L in Pennsylvania. John J Distazio provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
John J Distazio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Gender:
Male
Practice Address:
495 Waterfront Dr E, Suite 230, Homestead, Pennsylvania, 15120-1140
Phone:
412-461-1108
Fax:
412-461-5490
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1366414088
NPI Enumeration Date:
06 Feb, 2006
NPI Last Update On:
20 Apr, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John J Distazio are as mentioned below.
License Number
Specialization
State
Status
SC002842L
Podiatric Foot & Ankle Surgery
Pennsylvania
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with John J Distazio such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0004134486
Other
Pennsylvania
AETNA PIN
1156610001
Other
Pennsylvania
DMERC PROV NUMBER
455619
Other
Pennsylvania
HIGHMARK GRP PROV NUMBER
0010941370001
Medicaid
Pennsylvania
1009921
Other
Pennsylvania
GATEWAY HMO NUMBER
1205011277
Other
Pennsylvania
DMERC NPI NUMBER
1316123052
Other
Pennsylvania
RR MEDICARE GROUP NPI
175132
Other
Pennsylvania
HIGHMARK INDIVIDUAL PROV#
175132XXX
Other
Pennsylvania
MC GROUP PROV NUMBER
1316123052
Other
Pennsylvania
MC GROUP NPI NUMBER
1710911912
Other
Pennsylvania
HIGHMARK GROUP NPI NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
495 Waterfront Dr E, Suite 230 Homestead, Pennsylvania
Zip:
15120-1140
Phone Number:
412-461-1108
Fax Number:
412-461-5490
Patients can reach John J Distazio at 495 Waterfront Dr E, Suite 230, Homestead, Pennsylvania or can call to book an appointment on 412-461-1108. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Homestead, PA
Stanley D Bosta, DPM 47+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 495 Waterfront Dr E, Suite 230, PA Phone: 412-325-0397 Fax: 412-461-5490
William H Lenz, DPM Speciality: Podiatrist - Foot & Ankle Surgery Address: 495 Waterfront Dr E, Suite 230, PA Phone: 412-461-1108 Fax: 412-461-5490
Dr. Rodger B Kuhn, DPM Speciality: Podiatrist - Foot & Ankle Surgery Address: 495 Waterfront Dr E, Suite 230, PA Phone: 412-461-1108 Fax: 412-461-5490
Stephen J Kruljac, DPM 42+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 495 Waterfront Dr E, Suite 230, PA Phone: 412-461-1108 Fax: 412-461-5490