JERSEY SHORE HOSPITAL (NPI# 1194868729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194868729 |
| Entity Type | Organization |
| Organization Name | JERSEY SHORE HOSPITAL |
| 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 | 2020-08-22 |
| Authorized Official Name | MR. MARK A. O'NEILL (CFO) |
| Authorized Official Telephone | 5703983100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
101401 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007703560018 | 05 | |
| PA | FIRST PRIORITY | 009912 | 01 |
| PA | HEALTH AMERICA | 5511 | 01 |
| PA | RR MEDICARE | 391300 | 01 |
| PA | AETNA | 59746 | 01 |
| PA | GEISINGER | 10011 | 01 |
| PA | BLUE CROSS | 391300 | 01 |
| PA | WORKERS COMP | 391300 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306989967 | Jersey Shore Hospital | Dietitian, Registered | 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
| 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.