NPIMap

Individual provider Active NPI

Sherry Lynn Kolacia-Tighe, M.D.

  • Family Medicine Physician
  • Spencer, IA
National Provider Identifier
1972583573
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31705 Issued in IA
Practice address
116 E 11TH St
Suite 101
Spencer, IA 51301-4364
Phone
(712) 264-3500
Fax
(712) 264-3535
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31705 IA Primary

Addresses

Primary practice location

116 E 11TH St
Suite 101
Spencer, IA 51301-4364

Mailing address

116 E 11TH St
Suite 101
Spencer, IA 51301-4364
Phone (712) 264-3500

Other identifiers 1

IdentifierTypeStateIssuer
2134452MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000121 IA Practitioner - Family Practice 1759410988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians

Practice addresses (Care Compare)

101 E 10TH St
Suite 208
Spencer, IA 51301-4307
Phone (712) 264-6189

116 E 10TH St
Suite 101
Spencer, IA 51301-4365
Phone (712) 264-3500

1200 1St Ave E
Spencer, IA 51301-4330

1200 1St Ave E
Spencer, IA 51301-4342
Phone (712) 264-6198

1200 1St Ave E C
Nwia Bone Joint and Sports Surgeons
Spencer, IA 51301-4342
Phone (712) 262-7511

Hospital & facility affiliations

  • Avera @ Home Home health agency, Estherville, IA, CCN 167120
  • Avera at Home of Spencer Hospital Home health agency, Spencer, IA, CCN 167030
  • St Croix Hospice Hospice, Spirit Lake, IA, CCN 161607
  • Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112
  • Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
  • Avera Holy Family Hospital Hospital, Estherville, IA, CCN 161351
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • St Luke Lutheran Nursing Home Nursing home, Spencer, IA, CCN 165484
  • Spencer Post Acute Rehabilitation Center Nursing home, Spencer, IA, CCN 165449

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31705IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Spencer Municipal Hospital CurrentSince Jul 1, 2015 Accepting new patients
Spencer Municipal Hospital Past Accepting new patients
Medical Associates Clinic P C Past Accepting new patients

Locations

2004 Okoboji Ave
Milford, IA 51351
Phone (712) 338-2461

116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

101 E 10th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

Interoperability endpoints

  • Direct secure messaging: sherry.tighe@avera.sdhealthlink.net

Organizations & group practices 6

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.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1972583573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E 11TH ST",
            "address_2": "SUITE 101",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014364",
            "telephone_number": "712-264-3500",
            "fax_number": "712-264-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 11TH ST",
            "address_2": "SUITE 101",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014364",
            "telephone_number": "712-264-3500",
            "fax_number": "712-264-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLACIA-TIGHE",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "31705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134452",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.