Lisa A Tickerhoof, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA003281L Issued in PA

Practice address

VA Pittsburgh
University Drive C
Pittsburgh, PA 15240

Phone

(412) 688-6155

Fax

(412) 688-6942

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497849590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA PITTSBURGH",
            "address_2": "UNIVERSITY DRIVE C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15240",
            "telephone_number": "412-688-6155",
            "fax_number": "412-688-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA PITTSBURGH",
            "address_2": "UNIVERSITY DRIVE C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15240",
            "telephone_number": "412-688-6155",
            "fax_number": "412-688-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICKERHOOF",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA003281L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Thyberg, CRNP-BC
• Doreen Denise Tibbs, IBCLC
• Amy Elizabeth Tiberi, PHD
• Hannah Tice, PA-C
• Seth Tichenor, M.S. CCC-SLP
• Gerald R Tieman, PHD
• Jennifer Rebecca Tieman, MA, LMFT
• Megan Tiernan
• Connie Tierney, CRNP
• Lauren Victoria Tierney

• Surgical Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.