Lisa A Tabbit, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A12172 Issued in CA

Practice address

149 N Vine St
Hazleton, PA 18201-5852

Phone

(570) 454-0500

Fax

(570) 454-5005

NPI assigned

May 14, 2008

Last updated

Feb 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1205003670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040347",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N VINE ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015852",
            "telephone_number": "570-454-0500",
            "fax_number": "570-454-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBIT",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015267",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Thomas Stish Jr.
• Heather Ann Sugarman, CRNP
• Surgical Specialists of Hazleton, P. C.
• Cassie Surplus, MA
• Kerry Swiech
• Nina Mithi Taggart, MD
• Mary Grace Tambasco
• Paul J Tayoun, DO
• Tech Transport Inc.
• Teresa E Zierden Landmesser

• Family Medicine Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.