LIGHTHOUSE MEDICAL LLC NPI 1306184858

NPI Information

NPI: 1306184858
Provider Name: LIGHTHOUSE MEDICAL, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
301 E. PLEASANT VALLEY BLVD
ALTOONA, PA
ZIP 16602
Phone: (814) 944-5835
Get Directions

LIGHTHOUSE MEDICAL, LLC is a pain medicine anesthesiology in Altoona, PA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. LIGHTHOUSE MEDICAL, LLC NPI is 1306184858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 E. PLEASANT VALLEY BLVD
ALTOONA, PA
ZIP 16602
Phone: (814) 944-5835
Fax: (814) 944-9184

The provider's authorized official is John H. Johnson .
The authorized official title is Ceo/owner and has the following contact phone number (814) 943-1271.

The enumeration date for this NPI number is 1/17/2013 and was last updated on 2/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	MD044867E	PENNSYLVANIA	Yes
2	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	MD438515	PENNSYLVANIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1020712560001	MEDICAID	PENNSYLVANIA
2	125018	MEDICARE PIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »