Active NPI
Lynnita M Tigue-Petroski, DC
- Chiropractor
- Lords Valley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC008740
- Practice address
- 98 Forest Dr
Suite 2
Lords Valley, PA 18428-6140 - Phone
- (570) 775-6205
- Fax
- (570) 775-6205
- NPI assigned
- Dec 12, 2006
- Last updated
- Mar 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC008740 | PA | Primary |
Addresses
Primary practice location
98 Forest Dr
Suite 2
Lords Valley, PA 18428-6140
Mailing address
98 Forest Dr
Suite 2
Lords Valley, PA 18428-6140
Phone (570) 775-6205
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 818148 | Other | PA | FIRST PRIORITY |
| 056426TEX | Other | PA | MEDICARE PTAN |
| 1012312930001 | Medicaid | PA | |
| 1640258 | Other | PA | BLUE SHIELD |
| 201331634 | Other | PA | TAX ID |
Other names 1
- Dr. Lynnita M Tigue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
662 Route 739
Lords Valley, PA 18428-6085
662 Route 739
Suite 2
Lords Valley, PA 18428
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tigue Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Professional Chiropractic Associates, P.C. | Chiropractor | Past | Accepting new patients |
Locations
662 Route 739
Ste 2
Lords Valley, PA 18428
Phone (570) 775-6205
98 Forest Dr
Ste 2
Lords Valley, PA 18428
Phone (570) 775-6205
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Lords Valley, PA
- NPI 1932274586
-
- Chiropractor
- Scranton, PA
- NPI 1629166079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332720000000",
"number": "1922169200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 FOREST DR",
"address_2": "SUITE 2",
"city": "LORDS VALLEY",
"state": "PA",
"postal_code": "184286140",
"telephone_number": "570-775-6205",
"fax_number": "570-775-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 FOREST DR",
"address_2": "SUITE 2",
"city": "LORDS VALLEY",
"state": "PA",
"postal_code": "184286140",
"telephone_number": "570-775-6205",
"fax_number": "570-775-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIGUE-PETROSKI",
"first_name": "LYNNITA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2012-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC008740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "818148",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "056426TEX",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012312930001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1640258",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "201331634",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNNITA",
"last_name": "TIGUE",
"middle_name": "M",
"prefix": "DR.",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lords Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.