JERSEY SHORE HOSPITAL (NPI# 1306989967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306989967 |
| Entity Type | Organization |
| Organization Name | JERSEY SHORE HOSPITAL |
| Other Organization Name | JSECPA |
| Practice Address |
1020 Thompson St Jersey Shore PA 17740-1729 |
| Practice Telephone | 5703980100 |
| Practice Fax Number | 5703984412 |
| Mailing Telephone | 5703980100 |
| Mailing Fax Number | 5703984412 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-10-27 |
| Authorized Official Name | MARK A. O'NEILL (CFO) |
| Authorized Official Telephone | 5703983100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 101401 | PA | Dietary & Nutritional Service Providers |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
101401 | PA | Allopathic & Osteopathic Physicians |
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
101401 | PA | Hospitals |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
101401 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 101401 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207P00000X | Emergency Medicine | 101401 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HA ANESTHSIA | 139690 | 01 |
| PA | ER FPH | 222069 | 01 |
| PA | GHP | 3634 | 01 |
| PA | 1007703560004 | 05 | |
| PA | RR MEDICARE DR GROUP | C10719 | 01 |
| PA | HA ER | 116482 | 01 |
| PA | RADIOLOGY FPH | 222070 | 01 |
| PA | HA RADIOLOGY | 230275 | 01 |
| PA | WORKERS COMP | 391300 | 01 |
| Other Name | Type Code |
|---|---|
| JSECPA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194868729 | Jersey Shore Hospital | Clinic/Center | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2007-02-14 |
| Street Address |
1020 THOMPSON ST |
| City | JERSEY SHORE |
| State | PA |
| Zip Code | 17740-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186065 | Peter Michael Listro | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2005-07-01 |
| 1801401070 | Maayan Dagan | Physical Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2020-09-14 |
| 1437764644 | Ashley Kay Craig | Occupational Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2020-09-14 |
| 1447878871 | Lia Ruggerio | Speech-Language Pathologist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2020-07-13 |
| 1700403896 | Lori Ann Davis | Physician Assistant | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2020-07-06 |
| 1306496823 | Kelly Mccloud | Occupational Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2019-09-17 |
| 1427605138 | Rebecca Louise Hargrove | Dietitian, Registered | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2019-08-19 |
| 1568934891 | Ellie Louise Sikorskas | Physical Therapy Assistant | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2018-12-27 |
| 1396210985 | Jaylan Jones | Physician Assistant | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2018-10-10 |
| 1568948941 | Jill Yusinski | Speech-Language Pathologist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851680284 | E. Milton Witthoff Jr. | General Practice | 1563 Torbert Ln, Jersey Shore, PA 17740 | 2011-04-06 |
| 1932323326 | Candace B Kanzler | Occupational Therapy Assistant | 1032 Pine Drive, Jersey Shore, PA 17740 | 2007-04-13 |
| 1376687434 | Jacqueline Elaine George | Specialist/Technologist | 701 Cemetery Street, Jersey Shore, PA 17740 | 2007-02-20 |
| 1508917634 | Christopher Todd Witmer | Chiropractor | 1324 Allegheny Street, Jersey Shore, PA 17740 | 2007-01-16 |
| 1174130843 | Amanda Lee Cagle | Pharmacist | 1321 Allegheny St, Jersey Shore, PA 17740 | 2020-09-28 |
| 1205945870 | Nathan James Carpenter | Chiropractor | 135 N Main St, Jersey Shore, PA 17740 | 2006-08-29 |
| 1104989359 | John Paul Grove | Dentist | 812 Allegheny Street, Jersey Shore, PA 17740-0508 | 2006-12-19 |
| 1790769362 | Barry Michael Wrench | Physical Therapist | 320 Thomas St, Jersey Shore, PA 17740-1049 | 2005-12-06 |
| 1174038384 | James Frederick Leighty Jr. | Physical Therapist | 320 Thomas St, Jersey Shore, PA 17740-1049 | 2017-12-11 |
| 1194272997 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 320 Thomas St, Jersey Shore, PA 17740-1049 | 2016-09-09 |
| Find all providers in zip 17740 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154855161 | Kristen Kish | Emergency Medicine | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2017-04-17 |
| 1235592593 | Kyle David Yebernetsky | Emergency Medicine | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2016-04-03 |
| 1184895708 | Mistraine Durand-douglas | Emergency Medicine | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2008-03-23 |
| 1336218528 | Catherine A Brosius-bolick | Emergency Medicine | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2006-11-06 |
| 1578514501 | Hosny Mikhail | Emergency Medicine | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY SHORE |
| Zip Code | 17740 |
Please comment or provide details below to improve the information on JERSEY SHORE HOSPITAL.
| 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.