LIGHTHOUSE SURGERY CENTER, LLC (NPI# 1902459084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902459084 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE SURGERY CENTER, LLC |
| Other Organization Name | LIGHTHOUSE SURGERY CENTER |
| Practice Address |
129 Woodland St Hartford CT 06105-1218 |
| Mailing Address |
129 Woodland Street (4-7) Hartford CT 06105 |
| Practice Telephone | 8607143939 |
| Mailing Telephone | 8607144093 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | DR. MICHAEL EDWARD JOYCE (PRESIDENT/CEO) |
| Authorized Official Telephone | 8607143939 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lighthouse Surgery Center | Doing Business As Name - Organization |
| Street Address |
129 WOODLAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992098123 | Amanda Fantry | Orthopaedic Surgery | 1000 Asylum Ave Ste 2126, Hartford, CT 06105 | 2011-05-20 |
| 1518256452 | Collins Medical Associates 2 PC | Orthopaedic Surgery | 1000 Asylum Ave Ste 3218, Hartford, CT 06105-1702 | 2011-03-31 |
| 1437294576 | Select Orthopedics, LLC | Orthopaedic Surgery | 40 Woodland St, Hartford, CT 06105-2327 | 2007-02-20 |
| 1851319826 | William A. Lohrer | Orthopaedic Surgery | Hartford Orthopedic Medicine - 100 Wells Street, Suite 1b, Hartford, CT 06103 | 2006-07-18 |
| 1851398614 | John C Grady-benson | Orthopaedic Surgery | 31 Seymour St Ste 100, Hartford, CT 06106-5501 | 2005-07-07 |
| 1457357733 | Michael Aronow | Orthopaedic Surgery | 31 Seymour St, Ste 100, Hartford, CT 06106-5521 | 2005-06-22 |
| 1851920029 | Prism Sports Medicine, LLC | Orthopaedic Surgery | 31 Seymour Street, Suite 204, Hartford, CT 06106 | 2020-04-08 |
| 1235642158 | Connecticut Hand and Orthopedics Pllc | Orthopaedic Surgery | 1000 Asylum Ave Ste 3220, Hartford, CT 06105-1702 | 2017-11-14 |
| 1316366792 | Matthew J Grosso | Orthopaedic Surgery | 1000 Asylum Ave Ste 2126, Hartford, CT 06105-1719 | 2014-04-14 |
| 1073807335 | Hanbing Zhou | Orthopaedic Surgery | 31 Seymour Street, Suite 100, Hartford, CT 06106 | 2011-06-04 |
| Find all providers in HARTFORD | ||||
Please comment or provide details below to improve the information on LIGHTHOUSE SURGERY CENTER, LLC.
| 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.