DAVID LISKOV, MD (NPI# 1285862409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285862409 |
| Entity Type | Organization |
| Organization Name | DAVID LISKOV, MD |
| Practice Address |
562 Wyoming Ave Kingston PA 18704-3721 |
| Mailing Address |
512 Northampton St Edwardsville PA 18704-4560 |
| Practice Telephone | 5705523900 |
| Practice Fax Number | 5703001829 |
| Mailing Telephone | 5702872900 |
| Mailing Fax Number | 5703001829 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2013-05-29 |
| Authorized Official Name | DR. DAVID LISKOV (OWNER) |
| Authorized Official Telephone | 5702872900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD034887E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010825390002 | 05 |
| Street Address |
562 WYOMING AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683417 | David Liskov | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2005-07-15 |
| 1376186064 | Brent Smith | Registered Nurse | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2019-10-24 |
| 1275812661 | Roseanne P Pace | Counselor | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2011-08-16 |
| 1609172170 | Brittany Bahner | Counselor | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2011-02-01 |
| 1528368826 | Mary Repasky | Counselor | 562 Wyoming Ave, Choices Program of Wyoming Valley, Kingston, PA 18704 | 2010-11-02 |
| 1073842936 | Wilkes Barre Behavioral Hospital Company LLC | Registered Nurse | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-12-23 |
| 1013144211 | Md.mushfiqur Rahman | Psychiatry & Neurology | 562 Wyoming Ave, First Hospital, Kingston, PA 18704-3721 | 2009-06-15 |
| 1114153921 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-08 |
| 1477789287 | Wilkes Barre Behavioral Hospital Company LLC | Case Management | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-08 |
| 1992931893 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683417 | David Liskov | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124253067 | Bijan Etemad | Psychiatry & Neurology | 15 Wistar Rd, Villanova, PA 19085-1512 | 2009-05-21 |
| 1912106667 | Henry Litvin | Psychiatry & Neurology | 134 Cardinal Rd, Jenkintown, PA 19046-3907 | 2007-07-13 |
| 1922188879 | Rona Pasternak | Psychiatry & Neurology | 714 N Ithan Ave, Bryn Mawr, PA 19010-1730 | 2006-10-16 |
| 1083724884 | Levy Psychiatric Associates LLC | Psychiatry & Neurology | 8001 Roosevelt Blvd Suite 100, Philadelphia, PA 19152 | 2006-08-30 |
| 1700895240 | Delaware Valley Behavioral Health, P.C. | Psychiatry & Neurology | 1305 Medford Rd, Wynnewood, PA 19096-2418 | 2006-08-05 |
| 1730196379 | Robert M Rapkin | Psychiatry & Neurology | 1800 Three Mile Run Rd, Perkasie, PA 18944-2027 | 2006-08-02 |
| 1629044292 | Nicholas Tsopelas | Psychiatry & Neurology | 3535 Market Street, 3rd Floor, Philadelphia, PA 19104-2593 | 2006-02-24 |
| 1235119496 | Shivam Hingorani | Psychiatry & Neurology | 2001 Hamilton St, 1528, Philadelphia, PA 19130-4201 | 2006-01-21 |
| 1740278258 | Raul Rodriguez-feo | Psychiatry & Neurology | 132 Walnut St, Johnstown, PA 15901-1621 | 2005-10-10 |
| 1760867972 | Lancaster Hma Physician Management, LLC | Psychiatry & Neurology | 250 College Ave, Lancaster, PA 17603-3363 | 2015-07-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.