Justin Jeremiah Lightburn (NPI# 1346401395, PAC ID# 7012154123) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1346401395 |
| PAC ID by PECOS | 7012154123 |
| Professional Enrollment ID | I20140513000293 |
| Full Name | Justin Jeremiah Lightburn |
| Organization Legal Name | RADIOLOGY, INC |
| Address |
600 E Blvd Elkhart IN 46514-2483 |
| Phone Number | 5745233446 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 5890695464 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150026 | GOSHEN HOSPITAL |
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 E Blvd, Elkhart, IN 46514-2483 | 5745233446 | RADIOLOGY, INC |
| 1115 Professional Dr, Goshen, IN 46526-3800 | 5745375050 | RADIOLOGY, INC |
| 1135 Professional Dr, Goshen, IN 46526-3800 | 5743644000 | RADIOLOGY, INC |
| 200 High Park Ave, Goshen, IN 46526-4810 | 5745352693 | RADIOLOGY, INC |
| 6901 N Main St, Granger, IN 46530-8022 | 5746472900 | RADIOLOGY, INC |
| 615 N Michigan, South Bend, IN 46601-1033 | 5742843086 | RADIOLOGY, INC |
| Organization Legal Name | RADIOLOGY, INC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack D Markiewicz | Diagnostic Radiology | Radiology, Inc | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Albert W Cho | Diagnostic Radiology | Radiology, Inc | 615 N Michigan, South Bend, IN 46601-1033 |
| Samir B Patel | Diagnostic Radiology | Radiology, Inc | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Mark J Ormson | Diagnostic Radiology | Radiology, Inc | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Smari Md Thordarson | Diagnostic Radiology | Radiology, Inc | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Krishna R Pillai | Diagnostic Radiology | Radiology, Inc | 1007 Lincolnway, La Porte, IN 46350-3201 |
| John C Hill | Diagnostic Radiology | Radiology, Inc | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Mary C Dynes | Diagnostic Radiology | Radiology, Inc | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Christine Marsch Omalley | Diagnostic Radiology | Radiology, Inc | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Alan B Engel | Diagnostic Radiology | Radiology, Inc | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Street Address |
600 E BLVD |
| City | ELKHART |
| State | IN |
| Zip | 46514-2483 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Rullo | Physician Assistant | Beacon Medical Group Inc | 600 E Blvd, Bmg Gastroenteroloy Elkhart, Elkhart, IN 46514-2483 |
| Timothy B Davidson | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Walter H Halloran | Thoracic Surgery | Beacon Medical Group Inc | 600 E Blvd, Bmg Gastroenteroloy Elkhart, Elkhart, IN 46514-2483 |
| Michael F Steinberg | Thoracic Surgery | Beacon Medical Group Inc | 600 E Blvd, Bmg Gastroenteroloy Elkhart, Elkhart, IN 46514-2483 |
| Mohamed O Jahangir | Hospitalist | Apogee Medical Group Indiana PC | 600 E Blvd, Elkhart, IN 46514-2483 |
| Lindsay K Vasil | Certified Registered Nurse Anesthetist (crna) | Northern Indiana Anesthesia Services, P.C. | 600 E Blvd, Elkhart, IN 46514-2483 |
| Christy L Annis | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Matthew T Michalski | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Jeffrey R Show | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Joshua Lotfallah | Psychiatry | Beacon Medical Group Inc | 600 E Blvd, Bmg Gastroenteroloy Elkhart, Elkhart, IN 46514-2483 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Hix | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joann E Marinkovich-davidson | Nurse Practitioner | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Mark Klaassen | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Julia K Pagano | Podiatry | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Carolyn M Barbus | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Craig Erekson | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Jon B Smucker | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joseph M. Caldwell Ii | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Scott C Mclaughlin | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| John M Kelbel | Orthopedic Surgery | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Find all physicians in zip 46514 | |||
| City | ELKHART |
| Zip Code | 46514 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ELKHART + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Justin Jeremiah Lightburn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.