Provider Demographics
NPI:1275584161
Name:SPECIALTY ORTHOPAEDICS, P.C.
Entity type:Organization
Organization Name:SPECIALTY ORTHOPAEDICS, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:PISTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-342-2663
Mailing Address - Street 1:3120 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-4512
Mailing Address - Country:US
Mailing Address - Phone:724-342-2663
Mailing Address - Fax:
Practice Address - Street 1:3120 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4512
Practice Address - Country:US
Practice Address - Phone:724-342-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000622164OtherBS OT ID
1007775620010OtherPA MA PODIATRY GROUP
PA1007775620011OtherPA MA PT/OT GROUP
PA120437900OtherPA DEPT OF LABOR
000762543OtherBS PHYSICIAN GROUP
002022587OtherBS PODIATRY GROUP
111143OtherHEALTH AMERICA
PA000652655OtherBS PT ID
PA1007775620009Medicaid
OH2544376OtherOHIO MED ASSISTANCE GRP #
PA39D1023133OtherCLIA LAB #
PACG9009OtherTRAVELERS/RR MEDICARE
V04902OtherUPMC
PA=========OtherFEDERAL TAX IDENTIFICATION NUMBER
V04902OtherUPMC
002022587OtherBS PODIATRY GROUP