Mr. Theodore R. Siskovich, PA-C
Mr. Theodore R. Siskovich, PA-C is a Physician Assistant in Mountain Top, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 14
- Licensed in
- PA
- In the registry since
- 2012
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
35 S Mountain BlvdMountain Top, PA 18707-1122
Phone: (570) 474-5847
Fax: (570) 474-6952
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence MA055894 (PA) |
|---|
Record details
| NPI number | 1528302080 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 21, 2012 |
| Last updated in NPPES | August 17, 2020 |
| Certification date | August 17, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Geisinger Clinic — 3413 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 12 on file with Medicare |
Other providers in Mountain Top
-
MS. Christina L Feldmann, PA-C
35 S Mountain Blvd, Mountain Top, PA 18707-1122 · (570) 474-5978
-
Megan Lee Nyce, PA-C
35 S Mountain Blvd, Mountain Top, PA 18707-1122 · (570) 474-5978
-
Joanne M Petro, PAC
35 S Mountain Blvd, Mountain Top, PA 18707-1122 · (570) 474-5847
-
Robin Ragantesi, PA
35 S Mountain Blvd, Mountain Top, PA 18707-1122 · (570) 474-5847