NPIMap

Organization Active NPI

Lighthouse Anesthesiology of South Carolina, PA

  • Anesthesiology Physician
  • Sumter, SC
National Provider Identifier
1043493810
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LIGHTHOUSE ANESTHESIOLOGY OF SOUTH CAROLINA, PA
Practice address
420 W Wesmark Blvd
Sumter, SC 29150-1983
Phone
(803) 905-5590
Fax
(770) 237-1124
NPI assigned
Dec 14, 2007
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
LIGHTHOUSE ANESTHESIOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
John J Doyle, MDNPI 1508974106
Title
President
Phone
(904) 819-4478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

420 W Wesmark Blvd
Sumter, SC 29150-1983

Mailing address

PO Box 3012
St Augustine, FL 32085-3012
Phone (866) 480-2246

National Provider Directory

National Provider Directory
Part of
Lighthouse Anesthesiolo

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1043493810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853012",
            "telephone_number": "866-480-2246",
            "fax_number": "770-237-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501983",
            "telephone_number": "803-905-5590",
            "fax_number": "770-237-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ANESTHESIOLOGY OF SOUTH CAROLINA, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE ANESTHESIOLOGY",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-819-4478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.