LIGHTHOUSE MEDICAL LLC (NPI# 1841580495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841580495 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE MEDICAL LLC |
| Other Organization Name | LIGHTHOUSE MEDICAL PAIN MANAGEMENT |
| Practice Address |
217 Glenn St Suite 401 Cumberland MD 21502-2460 |
| Mailing Address |
311 E. Pleasant Valley Blvd. Altoona PA 16602 |
| Practice Telephone | 3017227246 |
| Practice Fax Number | 3017772624 |
| Mailing Telephone | 8149431271 |
| Mailing Fax Number | 8149408516 |
| Enumeration Date | 2011-04-17 |
| 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 | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD044867E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIST BC/BS | Y925 | 01 |
| MD | 3366359 00 | 05 |
| Other Name | Type Code |
|---|---|
| Lighthouse Medical Pain Management | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831478049 | Lighthouse Medical LLC | Physical Medicine & Rehabilitation | 253 Easterly Pkwy, Suite 1, State College, PA 16801-6301 | 2011-08-05 |
| 1881948669 | Lighthouse Medical LLC | Pain Medicine | 601 N Front St, Suite B, Philipsburg, PA 16866-2303 | 2012-11-01 |
| 1841547809 | Lighthouse Medical LLC | Durable Medical Equipment & Medical Supplies | 217 Glenn St, Fourth Floor, Cumberland, MD 21502-2460 | 2012-08-09 |
| 1528354271 | Lighthouse Medical LLC | Physical Medicine & Rehabilitation | 418 N Logan Blvd, Suite A, Burnham, PA 17009-1816 | 2011-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Lighthouse Medical LLC | 4750 South Denice Dr., Englewood, CO 80111 |
| Street Address |
217 GLENN ST SUITE 401 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568490530 | William T Balboa | Nurse Anesthetist, Certified Registered | 217 Glenn St, Suite 400, Cumberland, MD 21502-2460 | 2006-06-29 |
| 1710435045 | Pain Medicine of York, LLC | Anesthesiology | 217 Glenn St, 4th Floor, Cumberland, MD 21502 | 2016-09-15 |
| 1841547809 | Lighthouse Medical LLC | Durable Medical Equipment & Medical Supplies | 217 Glenn St, Fourth Floor, Cumberland, MD 21502-2460 | 2012-08-09 |
| 1396073797 | Cumberland Urology Asc, L.L.C. | Clinic/Center | 217 Glenn St, Suite 401, Cumberland, MD 21502-2460 | 2009-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710435045 | Pain Medicine of York, LLC | Anesthesiology | 217 Glenn St, 4th Floor, Cumberland, MD 21502 | 2016-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861986572 | Accessible Integrative Medicine, LLC | Anesthesiology | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2018-06-16 |
| 1760979116 | Advanced Pain Management Specialists, LLC | Anesthesiology | 331 Oak Manor Dr Ste 102, Glen Burnie, MD 21061-5553 | 2018-04-20 |
| 1407367055 | Consuelo Delores Fernandez | Anesthesiology | 6196 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-3137 | 2017-10-22 |
| 1598217291 | Advanced Pain Management Specialists, LLC | Anesthesiology | 10905 Fort Washington Rd Ste 405, Ft Washington, MD 20744-5807 | 2016-10-28 |
| 1104280957 | Brent Earls | Anesthesiology | 601 N Caroline St # 3062, Baltimore, MD 21287-0006 | 2016-04-07 |
| 1306213186 | Matsunaga Pain Management LLC | Anesthesiology | 8894 Stanford Blvd., Suite 104, Columbia, MD 21045-5161 | 2015-08-27 |
| 1801213863 | Jonathan Sean Woo | Anesthesiology | 22 South Greene Street, Room S11c00, Anestheisology, Baltimore, MD 21201 | 2014-03-27 |
| 1437409844 | Romana Baig | Anesthesiology | 1000 Bestgate Rd, Ste 400, Annapolis, MD 21401-3371 | 2012-09-12 |
| 1730455155 | Kim Vuong Hoang | Anesthesiology | 8455 Colesville Rd Ste 200, Silver Spring, MD 20910 | 2012-03-29 |
| 1295026342 | Anesthesia and Interventional Pain Management Center | Anesthesiology | 12821 Oak Hill Ave Ste 2, Hagerstown, MD 21742-2937 | 2011-04-25 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on LIGHTHOUSE MEDICAL LLC.
| 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.