Provider Demographics
NPI:1023098498
Name:CATANZARITI, ALAN R (DPM)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:R
Last Name:CATANZARITI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 FRIENDSHIP AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1722
Mailing Address - Country:US
Mailing Address - Phone:412-688-7580
Mailing Address - Fax:412-681-9676
Practice Address - Street 1:4800 FRIENDSHIP AVE FL 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:412-688-7580
Practice Address - Fax:412-681-9676
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002561L213ES0103X, 213ES0131X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000985553Medicaid
PA5757580002Medicare NSC
PA000985553Medicaid
PA5757580001Medicare NSC
PA143781Medicare PIN
PA143781VSLMedicare PIN