Lighthouse Medical Services PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

K2736 Issued in TX

Legal business name

LIGHTHOUSE MEDICAL SERVICES PLLC

Doing business as

and Hyperbaric Medicine Center of Grapevi

Practice address

3901 Popplewell St Ste B
Richland Hills, TX 76118-5103

Phone

(972) 672-1269

NPI assigned

Dec 17, 2015

Last updated

Feb 25, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Douglas Lecroy, MDNPI 1598848830

Title

Owner

Phone

(972) 672-1269

Specialties & licenses 1

Addresses

Other names 1

• and Hyperbaric Medicine Center of Grapevi Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Douglas Lecroy, M.D.

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1598848830
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1013372036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 POPPLEWELL ST STE B",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761185103",
            "telephone_number": "972-672-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 POPPLEWELL ST STE B",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761185103",
            "telephone_number": "972-672-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "LECROY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-672-1269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "K2736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "and Hyperbaric Medicine Center of Grapevi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Josephs, PT, DPT
• Myron I Krupp, D.P.M.
• Penny Ladrew, M.A.,CCC-SLP
• Hoan Ngoc Le, O.D.
• Haley J Lee
• Lincare Inc.
• Sunitha Malla, MD
• Manor Care of Fort Worth TX (NRH) LLC (Heartland Health Care Center-North Richland Hills)
• Benjamin Cohen Mayfield
• Kristin Deborah McGuire, FNP

• Clinic/Center in Richland Hills, TX
• Providers in Richland Hills, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.