Healthcare Provider Details

I. General information

NPI: 1053651745
Provider Name (Legal Business Name): DELTA FOOT AND ANKLE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2013
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

742 N BROAD STREET EXT
GROVE CITY PA
16127-4612
US

IV. Provider business mailing address

PO BOX 16008
PITTSBURGH PA
15242-0008
US

V. Phone/Fax

Practice location:
  • Phone: 814-375-8882
  • Fax: 724-458-6244
Mailing address:
  • Phone: 412-920-5860
  • Fax: 412-920-5861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAWN Y STEIN
Title or Position: OWNER
Credential: DPM
Phone: 724-458-6245