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JOHN J DISTAZIO DPM
NPI 1366414088
Podiatrist - Foot & Ankle Surgery in Homestead, PA

Active since February 06, 2006
495 WATERFRONT DR E, SUITE 230, HOMESTEAD, PA 15120(412) 461-1108(412) 461-5490 Get Directions Write a Review

NPPES record last updated: April 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John J Distazio Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN J DISTAZIO DPM (NPI 1366414088) is an individual foot & ankle surgery provider in Homestead, Pennsylvania, licensed in Pennsylvania (SC002842L) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1366414088
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJOHN J DISTAZIOCredential: DPM
Location Address495 WATERFRONT DR E, SUITE 230Homestead, PA 15120-1140
Mailing Address495 Waterfront Dr E, Suite 230Homestead, PA 15120-1140 · (412) 461-1108 · Fax (412) 461-5490
Phone(412) 461-1108
Fax(412) 461-5490
Sole ProprietorYes
Enumeration DateFebruary 6, 2006
Last NPPES UpdateApril 20, 2010
✔ NPI 1366414088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in PA · SC002842L
495 WATERFRONT DR E, Homestead, PA 15120
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Other Names 1

Professional Name (2)John J Distazio Dpm, Pc

Other Identifiers 13

Other1205011277PA · Dmerc Npi Number
Other0004134486PA · Aetna Pin
Other175132PA · Highmark Individual Prov#
Medicare ID-Type Unspecified175132PA
Other1316123052PA · Rr Medicare Group Npi
Other1009921PA · Gateway Hmo Number
Other1156610001PA · Dmerc Prov Number
Medicare UPINT29930PA
Other1316123052PA · Mc Group Npi Number
Medicaid0010941370001PA
Other455619PA · Highmark Grp Prov Number
Other175132XXXPA · Mc Group Prov Number
Other1710911912PA · Highmark Group Npi Number

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WATERFRONT ANESTHESIA ASSOCIATES, LLC
Anesthesiology
495 WATERFRONT DR E
HOMESTEAD, PA 15120
Allegheny County (412) 325-2174
AMY J. RADKOWSKI MPT
Physical Therapist
495 WATERFRONT DR E, SUITE 240
HOMESTEAD, PA 15120
Allegheny County (412) 325-2110
STANLEY D BOSTA DPM
Podiatrist (Foot & Ankle Surgery)
495 WATERFRONT DR E, SUITE 230
HOMESTEAD, PA 15120
Allegheny County (412) 325-0397
KEYSTONE REHABILITATION SYSTEMS INC
Clinic/Center (Rehabilitation)
495 WATERFRONT DR E, SUITE 240
HOMESTEAD, PA 15120
Allegheny County (412) 325-2110
DR. RACHAEL ELIZABETH MORROW PT, DPT
Physical Therapist
495 WATERFRONT DR E, SUITE 240
HOMESTEAD, PA 15120
Allegheny County (412) 325-2110
SOUTH HILLS FAMILY MEDICINE, LLC
Family Medicine
495 WATERFRONT DR E
HOMESTEAD, PA 15120
Allegheny County (412) 833-6176
MR. SHAWN P. WRIGHT PHYSICIAN ASSISTANT
Physician Assistant (Medical)
495 WATERFRONT DR E, SUITE 200
HOMESTEAD, PA 15120
Allegheny County (412) 326-0330
TED DAVID RICCI OT
Occupational Therapist
495 WATERFRONT DR E, SUITE 240
HOMESTEAD, PA 15120
Allegheny County (412) 325-2110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Distazio's NPI number?

The NPI number for John Distazio is 1366414088. It was assigned to this individual provider in the NPPES registry on February 6, 2006. The provider is also known as John J Distazio Dpm, PC.

Where is John Distazio located?

John Distazio practices at 495 Waterfront Dr E Suite 230, Homestead, PA 15120. The listed phone number is (412) 461-1108.

What is John Distazio's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for John Distazio was last updated on April 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.