DR. PETER MICHAEL LISTRO (NPI# 1730186065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730186065 |
| Entity Type | Individual |
| Full Name | DR. PETER MICHAEL LISTRO |
| Credential | DMD |
| Practice Address |
1020 Thompson St Jersey Shore PA 17740-1729 |
| Mailing Address |
210 N Tustin Ave Santa Ana CA 92705-3807 |
| Practice Telephone | 5703980100 |
| Practice Fax Number | 5703984412 |
| Mailing Telephone | 7143471012 |
| Mailing Fax Number | 7146471245 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2009-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | DS018695L | PA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 11699 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0253951 | 05 |
| Street Address |
1020 THOMPSON ST |
| City | JERSEY SHORE |
| State | PA |
| Zip Code | 17740-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1023508926 | Angela Rose Early | Occupational Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2018-05-16 |
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| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598100182 | Anthony T Wang | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740 | 2013-05-08 |
| 1215239488 | Shairko Missouri | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2010-11-22 |
| 1982920369 | Isoken Osunde | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2010-04-11 |
| 1598944969 | Peter M Listro, Dmd, PC | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2007-11-01 |
| 1699873802 | John A Hunter, Dds, PC | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2006-09-20 |
| 1831160894 | John Alvaro Hunter | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418456 | Wsc Anesthesia LLC | Anesthesiology | 495 E Waterfront Dr Ste 110, Homestead, PA 15120-1151 | 2020-02-11 |
| 1497313332 | Marsha Metzger Silberstein | Anesthesiology | 50 S 16th St Unit 4006, Philadelphia, PA 19102-2531 | 2019-06-05 |
| 1841853827 | Charles Michael Holdsworth | Anesthesiology | 31204 Anns Choice Way, Warminster, PA 18974-3369 | 2019-04-16 |
| 1275090433 | Upmc Wellsboro | Anesthesiology | 103 West Ave Ste 203, Wellsboro, PA 16901-1311 | 2019-02-25 |
| 1730645516 | Jw Anesthesia Consultants, LLC | Anesthesiology | 790 Newtown Yardley Rd Ste 415, Newtown, PA 18940-4503 | 2019-02-16 |
| 1487157731 | Prime Anesthesia Associates PC | Anesthesiology | 810 Plaza Blvd Ste 101, Lancaster, PA 17601-2762 | 2018-03-13 |
| 1740796796 | Pain Medicine of York, LLC | Anesthesiology | 100 High Tower Blvd Ste 200, Pittsburgh, PA 15205 | 2017-12-28 |
| 1295241909 | David William Schaffer | Anesthesiology | 29 Harmony Way, Newtown, PA 18940-1260 | 2017-12-18 |
| 1861904195 | Willis Curtis Barnes Jr. | Anesthesiology | 311 Race St., West Pittston, PA 18643 | 2017-10-26 |
| 1508377656 | Pottstown Ambulatory Center, LLC | Anesthesiology | 20 N Sunnybrook Rd Ste 2, Pottstown, PA 19464-2946 | 2017-10-17 |
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| City | JERSEY SHORE |
| Zip Code | 17740 |
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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.