Healthcare Provider Details

I. General information

NPI: 1649711235
Provider Name (Legal Business Name): ZACHARIA FACAROS, DPM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4955 STEUBENVILLE PIKE STE 180
PITTSBURGH PA
15205-9604
US

IV. Provider business mailing address

4955 STEUBENVILLE PIKE STE 180
PITTSBURGH PA
15205-9604
US

V. Phone/Fax

Practice location:
  • Phone: 412-838-2255
  • Fax:
Mailing address:
  • Phone: 412-838-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number25MD00333300
License Number StateNJ

VIII. Authorized Official

Name: DR. ZACHARIA FACAROS
Title or Position: PRESIDENT
Credential: DPM
Phone: 412-915-5803