LIGHTHOUSE PAIN AND SPINE SPECIALISTS


Address: 300 Health Park Blvd, Suite 5008, St Augustine, FL 32086-3707
Phone: 9048238823

LIGHTHOUSE PAIN AND SPINE SPECIALISTS (NPI# 1104903160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104903160
Entity Type Organization
Organization Name LIGHTHOUSE PAIN AND SPINE SPECIALISTS
Practice Address 300 Health Park Blvd
Suite 5008
St Augustine
FL 32086-3707
Mailing Address Po Box 3012
St Augustine
FL 32085-3012
Practice Telephone 9048238823
Mailing Telephone 9048244990
Mailing Fax Number 9048242226
Enumeration Date 2006-11-01
Last Update Date 2020-08-22
Authorized Official Name JOHN DOYLE (OWNER)
Authorized Official Telephone 9048244990
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
ME97111 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 300 HEALTH PARK BLVD
SUITE 5008
City ST AUGUSTINE
State FL
Zip Code 32086-3707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568464774 Derek D Muehrcke Thoracic Surgery (Cardiothoracic Vascular Surgery) 300 Health Park Blvd, Ste 5000, St Augustine, FL 32086-3705 2005-06-01
1366801052 Elizabeth Arnett Advanced Practice Midwife 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 2016-02-23
1932521200 Kerry Hannifin Latka Nurse Practitioner 300 Health Park Blvd, Suite 4000, St Augustine, FL 32086-3707 2014-01-06
1083951024 Lorraine M Searle Advanced Practice Midwife 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 2013-01-10
1467722025 First Coast Endocrinology, P.a. Internal Medicine 300 Health Park Blvd, Suite 3008, St Augustine, FL 32086-3707 2012-01-12
1194011908 Faisal Usman Internal Medicine 300 Health Park Blvd, Ste 4000, St Augustine, FL 32086-3707 2011-06-21
1336446525 Florida Woman Care LLC Obstetrics & Gynecology 300 Health Park Blvd, #3002, St Augustine, FL 32086-3703 2011-02-24
1588987747 Gerard M. Gerling M.d., P.a. Psychiatry & Neurology 300 Health Park Blvd, Suite 4002, St Augustine, FL 32086-3707 2010-03-02
1528206968 Michele Griffin Rogero Advanced Practice Midwife 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 2009-01-22
1992967541 Elizabeth H Meadows Advanced Practice Midwife 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086-3707 2008-06-25
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558771238 Adnan Faruqi Anesthesiology 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 2014-05-02
1720302946 First Coast Pain and Spine Center LLC Anesthesiology 100 Whetstone Pl Ste 310, St Augustine, FL 32086-5775 2010-03-17
1265659460 Joseph Adam Cartwright Anesthesiology 105 Whitehall Dr Ste 115&116, St Augustine, FL 32086 2007-04-19
1699708693 Pain Management Specialists of North Florida P A Anesthesiology 1301 Plantation Island Dr S Ste 301a, St Augustine, FL 32080-3117 2006-07-10
1235184805 Eduardo Dieguez Jr. Anesthesiology 811 State Road 206 E Ste 1, St Augustine, FL 32086-4869 2006-05-23
1386201960 Advanced Pain and Spine Institute of Florida LLC Anesthesiology 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 2019-05-20
1346710571 Florida Institute of Pain Medicine LLC Anesthesiology 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 2018-11-30
1932423563 First Coast Pain Management Anesthesiology 100 Whetstone Pl Ste 310, St Augustine, FL 32086-5775 2010-03-25
1376782920 James E Freidenstein Anesthesiology 105 Whitehall Dr Ste 115&116, St Augustine, FL 32086 2009-02-05
1851587406 Eduardo Dieguez Jr Md Pa Anesthesiology 811 State Road 206 E Ste 1, St Augustine, FL 32086-4869 2007-09-18
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City ST AUGUSTINE
Zip Code 32086

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Dataset Information

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.

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