LIGHTHOUSE PEDIATRICS PLLC (NPI# 1043630353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043630353 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE PEDIATRICS PLLC |
| Practice Address |
100 Whetstone Pl Suite 211 St Augustine FL 32086-5774 |
| Practice Telephone | 9043427648 |
| Practice Fax Number | 9043428567 |
| Mailing Telephone | 9043427648 |
| Mailing Fax Number | 9043428567 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| Authorized Official Name | VINCENT LUZ (OWNER) |
| Authorized Official Telephone | 9043427648 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME90727 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
100 WHETSTONE PL SUITE 211 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410991 | Bernard R Borbely | Internal Medicine | 100 Whetstone Pl, Suite208, St Augustine, FL 32086-5774 | 2005-07-13 |
| 1518488477 | Richard Edward Culhane | Nurse Practitioner | 100 Whetstone Pl, St Augustine, FL 32086-5774 | 2017-06-30 |
| 1326494527 | Heather Brumbley Conlon | Nurse Practitioner | 100 Whetstone Pl, St Augustine, FL 32086-5774 | 2016-05-06 |
| 1245625227 | Fred Maril Thompson IIi | Nurse Practitioner | 100 Whetstone Pl, Ste 310, St Augustine, FL 32086-5774 | 2015-04-06 |
| 1134514573 | Scott D Mcdowall Pllc | Internal Medicine | 100 Whetstone Pl, Suite 206, St Augustine, FL 32086-5774 | 2015-04-02 |
| 1871981308 | Pain Solutions & Physical Therapy, Inc. | Clinic/Center | 100 Whetstone Pl, Suite 208, St Augustine, FL 32086-5774 | 2015-01-06 |
| 1114323631 | Farghaly Medical, Pllc | Family Medicine | 100 Whetstone Pl, Suite 208, St Augustine, FL 32086-5774 | 2014-11-11 |
| 1942624374 | Kimberly Salvato | Nurse Anesthetist, Certified Registered | 100 Whetstone Pl, Suite 310, St Augustine, FL 32086-5774 | 2014-02-05 |
| 1205192739 | Anastasia Pediatrics | Pediatrics | 100 Whetstone Pl, Suite 205, St Augustine, FL 32086-5774 | 2012-04-10 |
| 1710259072 | David B. Tuchinsky, D.c., Pllc | Chiropractor | 100 Whetstone Pl, Suite 310, St Augustine, FL 32086-5774 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487218939 | Flagler Professional Health Care Services, Inc. | Pediatrics | 120 Palencia Village Dr Ste 108, St Augustine, FL 32095-8553 | 2019-04-30 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1073952909 | Meredith Johnston Brazell | Pediatrics | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2013-06-25 |
| 1184715658 | Paul J Leadem Jr. | Pediatrics | 1740 Tree Boulevard, Suite 112, St Augustine, FL 32084-5774 | 2006-09-27 |
| 1477658342 | Vincent S Luz | Pediatrics | 100 Whetstone Pl Ste 211, St Augustine, FL 32086-5775 | 2006-09-14 |
| 1649280041 | Zane Gary Kalter | Pediatrics | 70 Turin Ter Ste 220, St Augustine, FL 32092-0850 | 2006-08-08 |
| 1205192739 | Anastasia Pediatrics | Pediatrics | 100 Whetstone Pl, Suite 205, St Augustine, FL 32086-5774 | 2012-04-10 |
| 1053602813 | Global Health Records, Inc. | Pediatrics | 1851 Old Moultrie Rd, St Augustine, FL 32084-4168 | 2011-04-28 |
| 1790086429 | Harbour Island Pediatrics | Pediatrics | 1301 Plantation Island Dr S, Suite 106-b, St Augustine, FL 32080-3108 | 2010-11-11 |
| 1164738191 | Village Pediatrics of St Augustine LLC | Pediatrics | 319 W Town Pl, Suite 1, St Augustine, FL 32092-3101 | 2010-08-27 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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| 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.