MR. THEODORE R. SISKOVICH (NPI# 1528302080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528302080 |
| Entity Type | Individual |
| Full Name | MR. THEODORE R. SISKOVICH |
| Credential | PA-C |
| Practice Address |
35 S Mountain Blvd Mountain Top PA 18707-1122 |
| Mailing Address |
100 N Academy Ave Credentials Dept Danville PA 17822-4903 |
| Practice Telephone | 5704745847 |
| Practice Fax Number | 5704746952 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA055894 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
35 S MOUNTAIN BLVD |
| City | MOUNTAIN TOP |
| State | PA |
| Zip Code | 18707-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745568 | Aliasgar Chittalia | Internal Medicine | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2005-07-28 |
| 1427545094 | Sandra Reynolds | Nurse Practitioner | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2018-04-18 |
| 1679011647 | Darrin Eric Doran | Family Medicine | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2017-02-09 |
| 1073996153 | Jennifer Kristen Pitoniak | Social Worker | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2015-07-07 |
| 1922362789 | John Tolli | Podiatrist | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2012-06-26 |
| 1760751085 | Christina L Feldmann | Physician Assistant | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2011-12-15 |
| 1710265715 | Amanda M T Godfrey | Family Medicine | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2011-07-26 |
| 1467404798 | Geisinger Clinic | Physician Assistant | 35 S Mountain Blvd, Mountain Top, PA 18707 | 2006-05-16 |
| 1124085808 | Maria Alexies O. Samonte | Pediatrics | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2006-04-27 |
| 1942264486 | Sandeep Mehrok | Internal Medicine | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770953994 | Geisinger Wyoming Valley Medical Center | General Acute Care Hospital | 35 South Mountain Blvd, Mountain Top, PA 18707 | 2015-09-30 |
| 1003152190 | Patrick J Connors | Chiropractor | 124 N Mountain Blvd, Mountain Top, PA 18707 | 2012-12-18 |
| 1053674234 | Alexanne Kennedy Conklin | Speech-Language Pathologist | 185 South Mountain Blvd, Mountain Top, PA 18707 | 2012-06-21 |
| 1639440605 | Anne L Cox | Social Worker | 359 S.mountaintop Boulevard, Suite C-2, Mountaintop, PA 18707 | 2012-01-23 |
| 1538445218 | Geisinger Clinic | Pediatrics | 35 S. Mountain Blvd, Mountain Top, PA 18707 | 2011-10-26 |
| 1073665790 | Carmen Ardo | Psychologist | Confidential Counseling, 359 South Mountain Blvd. Suite C-2, Mountaintop, PA 18707 | 2007-01-16 |
| 1396892592 | Maureen Ann Jesikiewicz | Pharmacist | Triangle Pharmay 89 S Main St Mountaintop Pa 18707, Mountaintop, PA 18707 | 2007-01-03 |
| 1467517474 | James Joseph Johns Dds Jr. | Dentist | 151 South Mountain Blvd, Mountain Top, PA 18707 | 2006-12-27 |
| 1467547208 | Penn Neurology and Psychiatry Associates, PC | Psychiatry & Neurology | 10 1/2 South Mountain Boulevard, Mountain Top, PA 18707 | 2006-10-04 |
| 1154438752 | William Dietweiler Ziegler IIi | Dentist | 313 S Mountain Blvd, Mountaintop, PA 18707 | 2006-08-23 |
| Find all providers in zip 18707 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977280 | Rachel Bohn | Physician Assistant | 110 Timberwood Dr, Mountain Top, PA 18707-1850 | 2020-09-18 |
| 1265486195 | Joanne M Petro | Physician Assistant | 229 S Mountain Blvd, Mountain Top, PA 18707-1911 | 2006-05-22 |
| 1760751085 | Christina L Feldmann | Physician Assistant | 35 S Mountain Blvd, Mountain Top, PA 18707-1122 | 2011-12-15 |
| 1467404798 | Geisinger Clinic | Physician Assistant | 35 S Mountain Blvd, Mountain Top, PA 18707 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN TOP |
| Zip Code | 18707 |
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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.