LIGHTHOUSE HEALTHCARE, LLC (NPI# 1588997423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588997423 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE HEALTHCARE, LLC |
| Practice Address |
1211 N Shartel Ave Ste 900 Oklahoma City OK 73103-2477 |
| Mailing Address |
6300 Nw Expressway Ste 120 Oklahoma City OK 73132-5128 |
| Practice Telephone | 4052355331 |
| Practice Fax Number | 4052350825 |
| Mailing Telephone | 4054453697 |
| Mailing Fax Number | 4052125571 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | MR. DONALD AUGUSTUS GUTHRIE JR. (MANAGINE MANAGER) |
| Authorized Official Telephone | 4057372465 |
| Authorized Official Credential | P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | OK | Ambulatory Health Care Facilities |
| Street Address |
1211 N SHARTEL AVE STE 900 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 1144882325 | Focused Adult LLC | Clinic/Center | 5900 Mosteller Dr Unit 3, Oklahoma City, OK 73112-4640 | 2019-07-08 |
| 1518460047 | Revive Clinic LLC | Clinic/Center | 13316 S Western Ave Ste F, Oklahoma City, OK 73170-7309 | 2018-03-12 |
| 1881144095 | Osu Center for Health Sciences | Clinic/Center | 9821 S May Ave, Suite B, Oklahoma City, OK 73159-7042 | 2016-10-12 |
| 1760884886 | Oklahoma Neurodiagnostics, LLC | Clinic/Center | 5350 S Western Ave Ste 732, Oklahoma City, OK 73109-4535 | 2014-09-19 |
| 1396151171 | Board of Regents of The Univ of Okla-stephenson Specialty Pharmacy | Clinic/Center | 800 Ne 10th St Ste 1044, Oklahoma City, OK 73104-5418 | 2014-07-01 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1932462603 | Precision Health Services Inc/urgent Care | Clinic/Center | 7250 Nw Expressway Ste 202, Oklahoma City, OK 73132-1522 | 2012-06-19 |
| 1578855409 | Anibal Avila Md Professional Corporation PC | Clinic/Center | 1111 Sw 44th St, Oklahoma City, OK 73109-3601 | 2011-05-11 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
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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.