LIGHTHOUSE MEDICAL, LLC (NPI# 1205149846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205149846 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE MEDICAL, LLC |
| Other Organization Name | CENTRAL PA PAIN MANAGEMENT |
| Practice Address |
507 Tire Hill Road Suite 100 Johnstown PA 15905 |
| Mailing Address |
311 E. Pleasant Valley Blvd. Altoona PA 16602 |
| Practice Telephone | 8144674055 |
| Practice Fax Number | 8142628161 |
| Mailing Telephone | 8149431271 |
| Mailing Fax Number | 8149408516 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | JOHN H. JOHNSON (CEO/OWNER) |
| Authorized Official Telephone | 8149431271 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
MD044867E | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central PA Pain Management | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1639451875 | Lighthouse Medical, LLC | Clinic/Center | 301 East Pleasant Valley Blvd., Altoona, PA 16602-4475 | 2011-09-14 |
| 1487979670 | Lighthouse Medical, LLC | Clinic/Center | 200 Hospital Dr Ste 6, Tyrone, PA 16686-1825 | 2010-03-31 |
| 1932382595 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd., Altoona, PA 16602 | 2007-12-06 |
| 1568898948 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2013-09-18 |
| 1598048787 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 601 N Front St, Suite A, Philipsburg, PA 16866-2303 | 2011-09-23 |
| 1013236231 | Lighthouse Medical, LLC | Clinic/Center | 301 E. Pleasant Valley Blvd., Altoona, PA 16602 | 2010-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | LIGHTHOUSE MEDICAL, LLC | 46 Nichols Street, Rutland, VT 05702 |
| Colorado Business Entities | Lighthouse Medical, LLC | 63 Deerwood Drive, Littleton, CO 80127 |
| Street Address |
507 TIRE HILL ROAD SUITE 100 |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568898948 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| 1295818714 | Frank Thomas Zock Jr. | Physical Therapist | 927 Menoher Blvd, Johnstown, PA 15905 | 2006-10-21 |
| Find all providers in zip 15905 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679191142 | Pa Green Wellness | Clinic/Center | 1150 First Ave Ste 950, King of Prussia, PA 19406-1371 | 2020-07-10 |
| 1740823848 | King of Prussia Surgery Center, LLC | Clinic/Center | 950 Pulaski Dr Ste 140, King of Prussia, PA 19406-2802 | 2019-10-21 |
| 1114584984 | Penn Wellness Group P.C. | Clinic/Center | 926 Ada St, Belle Vernon, PA 15012-2353 | 2019-05-28 |
| 1467852996 | Ilumina Life Center, P.C. | Clinic/Center | 211 Granite Run Dr Ste 221, Lancaster, PA 17601 | 2014-09-03 |
| 1639451875 | Lighthouse Medical, LLC | Clinic/Center | 301 East Pleasant Valley Blvd., Altoona, PA 16602-4475 | 2011-09-14 |
| 1487979670 | Lighthouse Medical, LLC | Clinic/Center | 200 Hospital Dr Ste 6, Tyrone, PA 16686-1825 | 2010-03-31 |
| 1407035553 | Mount Nittany Medical Center Health Services Inc | Clinic/Center | 911 University Drive, State College, PA 16801-6626 | 2007-10-25 |
| 1487857322 | Pain Management Centers of America, LLC | Clinic/Center | 820 Town Center Dr, Suite 200, Langhorne, PA 19047-1785 | 2007-06-07 |
| 1609438324 | New Day Pain & Spine Specialists LLC | Clinic/Center | 230 Independence Rd, East Stroudsburg, PA 18301-9447 | 2019-07-02 |
| 1912432972 | Pain Instacare | Clinic/Center | 1420 Walnut Street, Suite 1201, Philadelphia, PA 19102-4017 | 2017-04-27 |
| Find all providers with the same taxonomy | ||||
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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.