Lisa Catherine Tricarico, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS010595L Issued in PA

Practice address

457 North Main St
Ste 105
Pittston, PA 18640-2185

Phone

(570) 883-9444

Fax

(570) 883-9333

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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

• Wyoming Valley Foot Associates P C

  • Foot Surgery Podiatrist
  • Pittston, PA
  • NPI 1538646591
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1598720609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 NORTH MAIN ST",
            "address_2": "STE 105",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402185",
            "telephone_number": "570-883-9444",
            "fax_number": "570-883-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 NORTH MAIN ST",
            "address_2": "STE 105",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186402185",
            "telephone_number": "570-883-9444",
            "fax_number": "570-883-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICARICO",
        "first_name": "LISA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010595L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - 050615",
            "identifier": "050615",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER GOLD",
            "identifier": "65252 E187",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "340964",
            "state": "PW"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018711180001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "002588",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH CAP",
            "identifier": "002626",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PERSONAL CHOICE",
            "identifier": "2342215000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH",
            "identifier": "65252 E187",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING",
            "identifier": "H47131",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE",
            "identifier": "1310719",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Mark Opiel Dentistry LLC
• Lisa F Tomcykoski, PHARMD
• Thomas Howard Tonkin, D.O.
• Michalene Torbik, D.O.
• Eileen T Toussaint, RPH
• Tricounty Medical Equipment and Supply, LLC
• Cassandra Lynn Tunis
• Aislinn Ann Turner, APRN
• Umh PA Corp.
• Umh PA Corp.

• Family Medicine Physician in Pittston, PA
• Providers in Pittston, 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 Apr 11, 2008; 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.