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LIGHTHOUSE FAMILY MEDICINE, PLLC
NPI 1114222031
Family Medicine in Fort Gratiot, MI

Active since January 25, 2011
4071 24TH AVE, FORT GRATIOT, MI 48059(810) 824-4222(810) 824-4220 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lighthouse Family Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE FAMILY MEDICINE, PLLC (NPI 1114222031) is a healthcare organization registered as a family medicine in Fort Gratiot, Michigan and active in the NPI registry since January 2011. The organization lists G. Blair Dowden, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1114222031
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIGHTHOUSE FAMILY MEDICINE, PLLC
Location Address4071 24TH AVEFort Gratiot, MI 48059-3801
Mailing Address4071 24th AveFort Gratiot, MI 48059-3801 · (810) 824-4222 · Fax (810) 824-4220
Phone(810) 824-4222
Fax(810) 824-4220
Organization SubpartNo
Authorized OfficialG. Blair DowdenMedical Doctor · (810) 824-4222
Enumeration DateJanuary 25, 2011
✔ NPI 1114222031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301088847
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4071 24TH AVE, Fort Gratiot, MI 48059
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Other Identifiers 2

Medicare UPINI27601MI
Medicaid1750379194MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY GILES PAC
Physician Assistant
4071 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 824-4222
ALICIA MCNARY NP-C
Nurse Practitioner (Family)
4071 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 824-4222
AMY ELIZABETH VILAS P.A.-C
Physician Assistant (Medical)
4071 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 824-4222
DR. JOSEPHINE M KAMENDAT FNP -C
Nurse Practitioner (Family)
4071 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 824-4222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Family Medicine, PLLC's NPI number?

The NPI number for Lighthouse Family Medicine, PLLC is 1114222031. It was assigned to this organization in the NPPES registry on January 25, 2011.

Where is Lighthouse Family Medicine, PLLC located?

Lighthouse Family Medicine, PLLC is located at 4071 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 824-4222.

What is Lighthouse Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lighthouse Family Medicine, PLLC was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.