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

NPI Status: Active since August 05, 2011

Contact Information

253 EASTERLY PKWY
SUITE 1
STATE COLLEGE, PA
ZIP 16801
Phone: (814) 308-8456
Fax: (814) 308-8728

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  • Organization
  • Anesthesiology
  • Pain Medicine

About LIGHTHOUSE MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Lighthouse Medical Llc, a provider established in State College, Pennsylvania operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1831478049 assigned on August 2011. The practitioner's primary taxonomy code is 207LP2900X with license number MD044867E (PA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Lighthouse Medical Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is John H. Johnson Md (Ceo/owner)

NPI
1831478049
Provider Name
LIGHTHOUSE MEDICAL LLC
Entity Type
Organization
Location Address
253 EASTERLY PKWY SUITE 1 STATE COLLEGE, PA 16801
Location Phone
(814) 308-8456
Location Fax
(814) 308-8728
Mailing Address
311 E. PLEASANT VALLEY BLVD. ALTOONA, PA 16602
Mailing Phone
(814) 943-1271
Mailing Fax
(814) 308-8728
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2011
Last Update Date
02-28-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
MD044867E
License State
PA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

MD438515 (PA)
2208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

OS015480 (PA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN H. JOHNSON MD

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(814) 943-1271

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
125018MEDICARE PIN (08)PA 
1020712560001MEDICAID (05)PA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831478049
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861871608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 8 + 7 + 1 + 6 + 0 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1831478049 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831478049, enumerated as an "organization" on August 05, 2011.

The provider is located at 253 EASTERLY PKWY SUITE 1 STATE COLLEGE, PA 16801 and the phone number is (814) 308-8456.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.