LIGHTHOUSE MEDICAL, LLC (NPI# 1013236231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013236231 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE MEDICAL, LLC |
| Other Organization Name | CENTRAL ANESTHESIA, LLC |
| Practice Address |
301 E. Pleasant Valley Blvd. Altoona PA 16602 |
| Mailing Address |
311 E. Pleasant Valley Blvd. Altoona PA 16602 |
| Practice Telephone | 8149445835 |
| Practice Fax Number | 8149449184 |
| Mailing Telephone | 8149431271 |
| Mailing Fax Number | 8149408516 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | JOHN H. JOHNSON (CEO/OWNER) |
| Authorized Official Telephone | 8149431271 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Anesthesia, LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1639451875 | Lighthouse Medical, LLC | Clinic/Center | 301 East Pleasant Valley Blvd., Altoona, PA 16602-4475 | 2011-09-14 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1487979670 | Lighthouse Medical, LLC | Clinic/Center | 200 Hospital Dr Ste 6, Tyrone, PA 16686-1825 | 2010-03-31 |
| 1932382595 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd., Altoona, PA 16602 | 2007-12-06 |
| 1568898948 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2013-09-18 |
| 1598048787 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 601 N Front St, Suite A, Philipsburg, PA 16866-2303 | 2011-09-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | LIGHTHOUSE MEDICAL, LLC | 46 Nichols Street, Rutland, VT 05702 |
| Colorado Business Entities | Lighthouse Medical, LLC | 63 Deerwood Drive, Littleton, CO 80127 |
| Street Address |
301 E. PLEASANT VALLEY BLVD. |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932382595 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd., Altoona, PA 16602 | 2007-12-06 |
| 1255863031 | Pain Medicine of York, LLC | Anesthesiology | 301 E. Pleasant Valley Blvd., Altoona, PA 16602 | 2017-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639451875 | Lighthouse Medical, LLC | Clinic/Center | 301 East Pleasant Valley Blvd., Altoona, PA 16602-4475 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679191142 | Pa Green Wellness | Clinic/Center | 1150 First Ave Ste 950, King of Prussia, PA 19406-1371 | 2020-07-10 |
| 1740823848 | King of Prussia Surgery Center, LLC | Clinic/Center | 950 Pulaski Dr Ste 140, King of Prussia, PA 19406-2802 | 2019-10-21 |
| 1114584984 | Penn Wellness Group P.C. | Clinic/Center | 926 Ada St, Belle Vernon, PA 15012-2353 | 2019-05-28 |
| 1467852996 | Ilumina Life Center, P.C. | Clinic/Center | 211 Granite Run Dr Ste 221, Lancaster, PA 17601 | 2014-09-03 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1487979670 | Lighthouse Medical, LLC | Clinic/Center | 200 Hospital Dr Ste 6, Tyrone, PA 16686-1825 | 2010-03-31 |
| 1407035553 | Mount Nittany Medical Center Health Services Inc | Clinic/Center | 911 University Drive, State College, PA 16801-6626 | 2007-10-25 |
| 1487857322 | Pain Management Centers of America, LLC | Clinic/Center | 820 Town Center Dr, Suite 200, Langhorne, PA 19047-1785 | 2007-06-07 |
| 1609438324 | New Day Pain & Spine Specialists LLC | Clinic/Center | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2019-07-02 |
| 1912432972 | Pain Instacare | Clinic/Center | 1420 Walnut Street, Suite 1201, Philadelphia, PA 19102-4017 | 2017-04-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.