MR. DAVID LISKOV


Address: 562 Wyoming Ave, Kingston, PA 18704-3721
Phone: 5705523900

MR. DAVID LISKOV (NPI# 1780683417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780683417
Entity Type Individual
Full Name MR. DAVID LISKOV
Credential MD
Practice Address 562 Wyoming Ave
Kingston
PA 18704-3721
Mailing Address 512 Northampton St
Edwardsville
PA 18704-4560
Practice Telephone 5705523900
Practice Fax Number 5702876733
Mailing Telephone 5702872900
Mailing Fax Number 5703001829
Enumeration Date 2005-07-15
Last Update Date 2013-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
MD-034887-E PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0010825390003 05
PA 0010825390002 05

Office Location

Street Address 562 WYOMING AVE
City KINGSTON
State PA
Zip Code 18704-3721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376186064 Brent Smith Registered Nurse 562 Wyoming Ave, Kingston, PA 18704-3721 2019-10-24
1275812661 Roseanne P Pace Counselor 562 Wyoming Ave, Kingston, PA 18704-3721 2011-08-16
1609172170 Brittany Bahner Counselor 562 Wyoming Ave, Kingston, PA 18704-3721 2011-02-01
1528368826 Mary Repasky Counselor 562 Wyoming Ave, Choices Program of Wyoming Valley, Kingston, PA 18704 2010-11-02
1073842936 Wilkes Barre Behavioral Hospital Company LLC Registered Nurse 562 Wyoming Ave, Kingston, PA 18704-3721 2009-12-23
1285862409 David Liskov, Md Psychiatry & Neurology 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-25
1013144211 Md.mushfiqur Rahman Psychiatry & Neurology 562 Wyoming Ave, First Hospital, Kingston, PA 18704-3721 2009-06-15
1114153921 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-08
1477789287 Wilkes Barre Behavioral Hospital Company LLC Case Management 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-08
1992931893 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
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Taxonomy Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285862409 David Liskov, Md Psychiatry & Neurology 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124253067 Bijan Etemad Psychiatry & Neurology 15 Wistar Rd, Villanova, PA 19085-1512 2009-05-21
1912106667 Henry Litvin Psychiatry & Neurology 134 Cardinal Rd, Jenkintown, PA 19046-3907 2007-07-13
1922188879 Rona Pasternak Psychiatry & Neurology 714 N Ithan Ave, Bryn Mawr, PA 19010-1730 2006-10-16
1083724884 Levy Psychiatric Associates LLC Psychiatry & Neurology 8001 Roosevelt Blvd Suite 100, Philadelphia, PA 19152 2006-08-30
1700895240 Delaware Valley Behavioral Health, P.C. Psychiatry & Neurology 1305 Medford Rd, Wynnewood, PA 19096-2418 2006-08-05
1730196379 Robert M Rapkin Psychiatry & Neurology 1800 Three Mile Run Rd, Perkasie, PA 18944-2027 2006-08-02
1629044292 Nicholas Tsopelas Psychiatry & Neurology 3535 Market Street, 3rd Floor, Philadelphia, PA 19104-2593 2006-02-24
1235119496 Shivam Hingorani Psychiatry & Neurology 2001 Hamilton St, 1528, Philadelphia, PA 19130-4201 2006-01-21
1740278258 Raul Rodriguez-feo Psychiatry & Neurology 132 Walnut St, Johnstown, PA 15901-1621 2005-10-10
1760867972 Lancaster Hma Physician Management, LLC Psychiatry & Neurology 250 College Ave, Lancaster, PA 17603-3363 2015-07-29
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Competitor

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City KINGSTON
Zip Code 18704

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Dataset Information

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.

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