1. Home
  2. Directory
  3. Ohio
  4. Canfield
  5. Chiropractor
  6. NPI Profile

LISA M PROVENZA-TABAK D.C.
NPI 1871583948
Chiropractor in Canfield, OH

Active since October 28, 2005Accepts Medicare Assignment
3680 STARRS CENTRE DR, CANFIELD, OH 44406(330) 702-0500(330) 705-0575 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa M Provenza-tabak D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M PROVENZA-TABAK D.C. (NPI 1871583948) is an individual chiropractor in Canfield, Ohio, licensed in Ohio (2661) and active in the NPI registry since October 2005. She is affiliated with Surgical Hospital At Southwoods and is a graduate of Palmer College Chiropractic - Davenport (1998).

NPPES Registry Identity

NPI1871583948
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameLISA M PROVENZA-TABAKCredential: D.C.
Location Address3680 STARRS CENTRE DRCanfield, OH 44406-9514
Mailing Address3680 Starrs Centre DrCanfield, OH 44406-9514 · (330) 702-0500 · Fax (330) 702-0575
Phone(330) 702-0500
Fax(330) 705-0575
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1998
Enumeration DateOctober 28, 2005
Last NPPES UpdateJune 11, 2008
✔ NPI 1871583948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · 2661
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3680 STARRS CENTRE DR, Canfield, OH 44406
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINU69946OH
Medicaid2062888OH
Other341935351-00OH · Bwc
Medicare ID-Type Unspecified4029851OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa M Provenza-tabak D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668544313
PECOS Enrollment IDI20080711000568

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
375 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALANNA ERIN MCENTIRE D.C.
Chiropractor
3680 STARRS CENTRE DR
CANFIELD, OH 44406
Mahoning County (330) 702-0500
PRO FAMILY CHIROPRACTIC CENTER, LTD.
Chiropractor
3680 STARRS CENTRE DR
CANFIELD, OH 44406
Mahoning County (330) 702-0500
MISS MONICA LYNN CAMELI LMT
Massage Therapist
3680 STARRS CENTRE DR
CANFIELD, OH 44406
Mahoning County (330) 518-0631
ANTHONY F IERACI
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3680 STARRS CENTRE DR
CANFIELD, OH 44406
Mahoning County (330) 967-4056
DOEBERLING-MUCCIO PHYSICAL THERAPY, INC.
Physical Therapist
3680 STARRS CENTRE DR
CANFIELD, OH 44406
Mahoning County (330) 402-0441
IERACI HOMES LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3680 STARRS CENTRE DR
CANFIELD, OH 44406
Mahoning County (330) 720-4544
MR. MATTHEW S LEATHERS PT, DPT
Physical Therapist
3680 STARRS CENTRE DR
CANFIELD, OH 44406
Mahoning County (330) 402-0441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Provenza-tabak's NPI number?

The NPI number for Lisa Provenza-tabak is 1871583948. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Lisa Provenza-tabak located?

Lisa Provenza-tabak practices at 3680 Starrs Centre Dr, Canfield, OH 44406. The listed phone number is (330) 702-0500.

What is Lisa Provenza-tabak's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lisa Provenza-tabak enrolled in Medicare?

Yes. Lisa Provenza-tabak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Provenza-tabak accept?

Health plans from CareSource and UnitedHealthcare list Lisa Provenza-tabak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Provenza-tabak affiliated with any hospitals?

According to CMS data, Lisa Provenza-tabak is affiliated with Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Lisa Provenza-tabak was last updated on June 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.