DR. GEORGE PETRO (NPI# 1609844547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609844547 |
| Entity Type | Individual |
| Full Name | DR. GEORGE PETRO |
| Credential | MD |
| Practice Address |
33-57 Harrison St Johnson City NY 13790-2107 |
| Mailing Address |
33 Lewis Rd # 2nd Binghamton NY 13905-1040 |
| Practice Telephone | 6077636104 |
| Practice Fax Number | 6077635148 |
| Mailing Telephone | 6077298156 |
| Mailing Fax Number | 6077293982 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
154359 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
154359 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00797851 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164522330 | George Joseph Petro Jr. | Internal Medicine | 108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 | 2006-09-25 |
| 1427040757 | George C Petro | Psychiatry & Neurology | 625 Belle Terre Rd, Suite 205, Port Jefferson, NY 11777-2316 | 2005-08-23 |
| Street Address |
33-57 HARRISON ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477832 | Rajesh Jayantkrishna Dave | Specialist | 33-57 Harrison St, Johnson City, NY 13790-2143 | 2005-06-15 |
| 1447851944 | Sagarkumar Patel | Nurse Practitioner | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2020-11-03 |
| 1083214332 | Justin Michael Eisenhauer | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2020-10-27 |
| 1124665849 | Jason D Oziemina | Physical Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-12-02 |
| 1104462472 | Cathy J Forde | Occupational Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-21 |
| 1740826361 | Marie Beth Abell | Physical Medicine & Rehabilitation | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-19 |
| 1841835675 | Jessica Lynn Mclaughlin | Occupational Therapist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-15 |
| 1346885399 | Brianna Bruster | Speech-Language Pathologist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-14 |
| 1689219735 | Jinfang Li | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-13 |
| 1437794781 | John Yacano | Physician Assistant | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2019-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851480776 | James Koonce | Radiology | 1301 Sunset Dr Ste 3, Mountain Empire Radiology, Johnson City, TN 37604-7906 | 2006-10-11 |
| 1851688063 | Christopher Jordan Dela Houssaye | Radiology | 400 N State of Franklin Rd, Johnson City, TN 37604 | 2011-07-08 |
| 1609843903 | Thomas Gudas | Radiology | 33-57 Harrison St, Johnson City, NY 13790 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568926822 | Frederic A Mendelsohn Neurodiagnostics Inc | Radiology | 30 Seaside Dr, Port Jefferson, NY 11777-1132 | 2019-01-30 |
| 1639580244 | Julian Felder | Radiology | 20 Markwood Rd, Forest Hills, NY 11375-6050 | 2014-05-16 |
| 1982045845 | Reade Andrew De Leacy | Radiology | 1450 Madison Avenue, Box 1136, Klingenstein Clinical Center, 1-north, New York, NY 10029-6574 | 2013-07-08 |
| 1053653733 | Joanne Michelle Rispoli | Radiology | 560 1st Ave # 2, New York, NY 10016-6402 | 2013-03-20 |
| 1619215167 | Asim Maher | Radiology | 8342 241st St, Bellerose, NY 11426 | 2013-01-17 |
| 1568727121 | Akm Ashfaqur Rahman | Radiology | 23 Hadley Ct, Pittsford, NY 14534-2838 | 2012-07-10 |
| 1740554286 | Branch Medical, PC | Radiology | 35 Pinelawn Rd., Suite 112, Melville, NY 11747 | 2012-03-01 |
| 1437426483 | John William Duncan | Radiology | 7 E 14th St Apt 201, New York, NY 10003-3117 | 2011-11-18 |
| 1750685806 | Prachi Dubey | Radiology | 630 W168th Street # 28, New York, NY 10032 | 2011-01-04 |
| 1275850810 | Joseph Dobtsis | Radiology | 1445 Shore Pkwy Apt 4t, Brooklyn, NY 11214-6142 | 2010-04-21 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.