Lighthouse Spine Center P.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

LIGHTHOUSE SPINE CENTER P.C.

Practice address

7307 Macarthur Blvd # 200
Bethesda, MD 20816-1014

Phone

(301) 830-8040

Fax

(833) 707-1950

NPI assigned

Aug 21, 2021

Organization subpart

No

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

Authorized official

Name

Aram Shahinyan, MDNPI 1134462898

Title

President

Phone

(301) 830-8040

Specialties & licenses 3

Addresses

Other names 1

• SpIntervention, Corp Former legal business name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: aram.shahinyan.1@25573.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25573/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aram Shahinyan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Bethesda, MD
  • NPI 1134462898

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1104592898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 HARVARD AVE UNIT 365",
            "city": "GLEN ECHO",
            "state": "MD",
            "postal_code": "208127508",
            "telephone_number": "301-830-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 MACARTHUR BLVD # 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161014",
            "telephone_number": "301-830-8040",
            "fax_number": "833-707-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7740 Gunston Plz",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220791897",
            "country_code": "US",
            "telephone_number": "301-830-8040",
            "fax_number": "833-694-1804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6020 Richmond Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223032157",
            "country_code": "US",
            "telephone_number": "301-830-8040",
            "fax_number": "833-563-1721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 Arlington Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312902",
            "country_code": "US",
            "telephone_number": "301-830-8040",
            "fax_number": "833-518-1993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Wisconsin Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200163011",
            "country_code": "US",
            "telephone_number": "301-830-8040",
            "fax_number": "833-991-3561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8305 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208143103",
            "country_code": "US",
            "telephone_number": "301-840-8040",
            "fax_number": "833-794-1829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8455 Colesville Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103315",
            "country_code": "US",
            "telephone_number": "301-830-8040",
            "fax_number": "833-955-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3117 Duke St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144518",
            "country_code": "US",
            "telephone_number": "301-830-8040",
            "fax_number": "833-630-0526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1953 Gallows Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823934",
            "country_code": "US",
            "telephone_number": "301-830-8040",
            "fax_number": "833-521-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE SPINE CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "SHAHINYAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-830-8040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aram.shahinyan.1@25573.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6020 Richmond Hwy Ste 102",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223032157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aram.shahinyan.1@25573.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7740 Gunston Plz",
            "city": "Lorton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220791897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SpIntervention, Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SpIntervention, Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephanie Burchard Lietzau Hayes, PHD
• Kailin Lieu
• Julie H Lieuw, O.D.
• Mason Allen Life, DO
• Connor Liggett, MD
• Claire Woodfin Ligon, M.ED, CCC-SLP
• Lilia G. Banzon, MD, PC T/a Marie T. Banzon, DDS
• Tiye Lillard
• Maximillian Lilly, BSN
• Agnes Lim, M.D.

• Pain Medicine (Anesthesiology) Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Pain Medicine (Anesthesiology) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.