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

Q: 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.

Q: What is Lisa Provenza-tabak's specialty?

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

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: October 25, 2026.

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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

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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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Lisa Provenza-tabak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pro Family Chiropractic Center, Ltd.

Same address

Chiropractor

3680 STARRS CENTRE DR
Canfield, OH 44406

Reassigned Medicare billing, Ohio enrollment

NPI 1144484692 (330) 702-0500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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