Provider Demographics
NPI:1659450906
Name:JOHN HORNYAK DPM
Entity Type:Organization
Organization Name:JOHN HORNYAK DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNYAK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:412-364-8265
Mailing Address - Street 1:8134 PEEBLES RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5755
Mailing Address - Country:US
Mailing Address - Phone:412-364-8265
Mailing Address - Fax:412-364-0218
Practice Address - Street 1:8134 PEEBLES RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5755
Practice Address - Country:US
Practice Address - Phone:412-364-8265
Practice Address - Fax:412-364-0218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008100470002Medicaid
PA0008100470002Medicaid