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LIGHTHOUSE MEDICAL LLC
NPI 1831478049
Anesthesiology - Pain Medicine in State College, PA

Active since August 05, 2011
253 EASTERLY PKWY, SUITE 1, STATE COLLEGE, PA 16801(814) 308-8456(814) 308-8728 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lighthouse Medical Llc NPPES

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

LIGHTHOUSE MEDICAL LLC (NPI 1831478049) is a healthcare organization registered as a pain medicine in State College, Pennsylvania and active in the NPI registry since August 2011. The organization lists John H. Johnson, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1831478049
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameLIGHTHOUSE MEDICAL LLC
Location Address253 EASTERLY PKWY, SUITE 1State College, PA 16801-6301
Mailing Address311 E. Pleasant Valley Blvd.Altoona, PA 16602 · (814) 943-1271 · Fax (814) 940-8516
Phone(814) 308-8456
Fax(814) 308-8728
Organization SubpartNo
Authorized OfficialJohn H. JohnsonCeo/owner · (814) 943-1271
Enumeration DateAugust 5, 2011
Last NPPES UpdateFebruary 28, 2017
✔ NPI 1831478049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in PA · MD044867E
Definition
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License MD438515 (PA)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License OS015480 (PA)
253 EASTERLY PKWY, State College, PA 16801
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Other Identifiers 2

Medicare PIN125018PA
Medicaid1020712560001PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical LLC's NPI number?

The NPI number for Lighthouse Medical LLC is 1831478049. It was assigned to this organization in the NPPES registry on August 5, 2011.

Where is Lighthouse Medical LLC located?

Lighthouse Medical LLC is located at 253 Easterly Pkwy Suite 1, State College, PA 16801. The listed phone number is (814) 308-8456.

What is Lighthouse Medical LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Lighthouse Medical LLC was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.