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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB A PETROSKY, MD

Deactivated

DR. JACOB A PETROSKY, MD is a General Surgery healthcare provider located in DANVILLE, Pennsylvania. NPI 1881959013 is deactivated in the NPPES registry. Verify at CMS.

General Surgery · DANVILLE, PA

This NPI has been deactivated. The record was deactivated on May 15, 2025. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1881959013
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2012 (12.838356164384 yrs)
Last Updated
Oct 21, 2025
Deactivated
May 15, 2025
Licenses
35.126975 (OH)
MD459469 (PA)
ME149924 (FL)
32954 (MS)

Practice Information

Address
100 NORTH ACADEMY AVE
DANVILLE, PA, 17822
Browse PA providers · Browse ZIP 17822
Phone
5702716361
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery
Additional Specialty
General Surgery
Additional Specialty
General Surgery
Additional Specialty
General Surgery

Other General Surgery Providers in DANVILLE, PA

Name Credential NPI
DR. JOHN ALAN SEMIAN MD 1528061355
DR. SUSAN M. BARO D.O. 1528032331
DR. PETER N. BENOTTI M.D. 1154395838
DR. JAMES F. EVANS M.D. 1740257054
DR. DIANNE J. LEONARD M.D. 1225099245
DR. ANTHONY T. PETRICK M.D. 1609831965
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.