David Liskov, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

MD034887E Issued in PA

Legal business name

DAVID LISKOV, MD

Practice address

562 Wyoming Ave
Kingston, PA 18704-3721

Phone

(570) 552-3900

Fax

(570) 300-1829

NPI assigned

Jun 25, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Liskov, MDNPI 1780683417

Title

Owner

Phone

(570) 287-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Liskov, MD

  • Geriatric Psychiatry Physician
  • Kingston, PA
  • NPI 1780683417
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1285862409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NORTHAMPTON ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044560",
            "telephone_number": "570-287-2900",
            "fax_number": "570-300-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043721",
            "telephone_number": "570-552-3900",
            "fax_number": "570-300-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LISKOV, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "LISKOV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-287-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD034887E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010825390002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly S D'Andrea, PSY.D.
• Rabekah M Dalessio, RN
• Joseph Francis Daley, D.P.M.
• Whitney L Dartnell
• Michelle Davenport, CRNA
• Alysha Davis, PA-C
• Danny Walther Davis, CRNP
• Nayab Davis, OD
• Sandra Davis, L.M.T.
• John Dawsey, MD

• Geriatric Psychiatry Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Geriatric Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.