Lighthouse Wellness Institute Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LIGHTHOUSE WELLNESS INSTITUTE INC

Doing business as

Lighthouse Health and Wellness

Practice address

2182 Broadway Ave
North Bend, OR 97459

Phone

(541) 808-9697

Fax

(541) 808-9699

NPI assigned

Nov 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael Patrick Bartell, D.C.NPI 1184720229

Title

Owner

Phone

(630) 205-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lighthouse Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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.

• Michael Patrick Bartell, D.C.

  • Chiropractor
  • North Bend, OR
  • NPI 1184720229
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1306315056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 VIRGINIA AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591741",
            "telephone_number": "630-205-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 BROADWAY AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-808-9697",
            "fax_number": "541-808-9699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2590 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OR",
            "postal_code": "974591741",
            "country_code": "US",
            "telephone_number": "630-205-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE WELLNESS INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "BARTELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-205-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500748374",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lighthouse Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Young Lee, DMD
• Chelsea Lemmer
• Amy J Levin, QMHP, MRA
• Micah Levitt
• Anastasia Grace Leypoldt
• Marissa Colleen Lindsay
• Deidrie Lindsey
• Michelle Lintner
• Wendi Liszka, PHARMD
• Angelene Logiudice

• Health Service Clinic/Center in North Bend, OR
• Providers in North Bend, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.