Individual provider Active NPI

Peter Listerman, MD

  • Emergency Medicine Physician
  • Akron, OH
National Provider Identifier
1902851520
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35066239L Issued in OH
Practice address
525 E Market St
Akron, OH 44304-1619
Phone
(330) 375-3369
Fax
(330) 375-3769
NPI assigned
May 23, 2006
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35066239L OH Primary

Addresses

Primary practice location

525 E Market St
Akron, OH 44304-1619

Mailing address

PO Box 1649
Akron, OH 44309-1649
Phone (330) 864-8900

Other identifiers 7

IdentifierTypeStateIssuer
61641OtherOHUNITED HEALTHCARE
2269487MedicaidOH
341779226002OtherOHMED MUT OF OH/ 1 OF 2
000000224329OtherOHANTHEM
341779226003OtherOHMED MUT OF OH/ 2 OF 2
341779226LOtherOHSUMMACARE
930100551OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000244 OH Practitioner - Emergency Medicine 4981849072 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35066239LOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Dec 28, 2019 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Mves Boardman LLC Emergency Medicine CurrentSince Dec 28, 2019 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Summa Emergency Associates, Inc. Emergency Medicine CurrentSince Jul 1, 2000 Accepting new patients
Summa Emergency Associates Inc Emergency Medicine Past Accepting new patients
Summa Emergency Associates Inc Emergency Medicine Past Accepting new patients
Summa Emergency Associates Emergency Medicine Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

444 N Main St
Akron, OH 44310
Phone (330) 375-6363

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

411 Devon Pl
Ste A
Kent, OH 44240
Phone (330) 677-7680

400 Austin Ave NW
Massillon, OH 44646
Phone (330) 837-7200

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1902851520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1649",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091649",
            "telephone_number": "330-864-8900",
            "fax_number": "330-869-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-3369",
            "fax_number": "330-375-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTERMAN",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35066239L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "61641",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2269487",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUT OF OH/ 1 OF 2",
            "identifier": "341779226002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000224329",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUT OF OH/ 2 OF 2",
            "identifier": "341779226003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "341779226L",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930100551",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.