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LIGHTHOUSE SURGERY CENTER LLC NPI 1902459084


NPI Information

NPI: 1902459084
Provider Name: LIGHTHOUSE SURGERY CENTER, LLC

Doing Business As: LIGHTHOUSE SURGERY CENTER

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 07D2170741

Address:
129 WOODLAND ST
HARTFORD, CT
ZIP 06105
Phone: (860) 714-3939
Get Directions

LIGHTHOUSE SURGERY CENTER, LLC is an orthopaedic surgery in Hartford, CT. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. LIGHTHOUSE SURGERY CENTER, LLC NPI is 1902459084. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lighthouse Surgery Center.

The provider's business location address is:

129 WOODLAND ST
HARTFORD, CT
ZIP 06105-218
Phone: (860) 714-3939

The provider's authorized official is Michael Edward Joyce .
The authorized official title is President/ceo and has the following contact phone number (860) 714-3939.

The CLIA number assigned to this NPI record is 07D2170741 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2019 and was last updated on 7/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3207X00000XOrthopaedic SurgeryYes
4207XS0106XOrthopaedic SurgeryHand SurgeryNo
5207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
6207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
7207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
8207XX0005XOrthopaedic SurgerySports MedicineNo
9207XX0801XOrthopaedic SurgeryOrthopaedic TraumaNo
10208VP0014XPain MedicineInterventional Pain MedicineNo
11261QA1903XClinic/CenterAmbulatory SurgicalNo

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: 11/14/2023

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.