Lighthouse Medical, LLC – Pain Clinic/Center

Key facts

NPI: 1487979670
Entity type: Organization (NPI type 2)
Primary specialty: Pain Clinic/Center 261QP3300X
License: MD044867E (PA)
Legal business name: LIGHTHOUSE MEDICAL, LLC
Practice address: 200 Hospital Dr Ste 6
Tyrone, PA 16686-1825
Phone: (814) 682-7088
Fax: (814) 682-7089
NPI assigned: Mar 31, 2010
Organization subpart: No

Authorized official

Name: Sarah B Steele
Title: Billing Manager
Phone: (814) 793-4833

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pain Clinic/Center	261QP3300X	MD044867E	PA	Yes

Addresses

Primary practice location

200 Hospital Dr Ste 6
Tyrone, PA 16686-1825

Mailing address

200 Hospital Dr
Suite 6
Tyrone, PA 16686-1825
Phone (814) 682-7022

Other names

Central PA Pain Management Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 2, 2011.

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1487979670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "address_2": "SUITE 6",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861825",
            "telephone_number": "814-682-7022",
            "fax_number": "814-682-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR STE 6",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861825",
            "telephone_number": "814-682-7088",
            "fax_number": "814-682-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "814-793-4833"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "PA",
            "license": "MD044867E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central PA Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyrone, PA

All providers in Tyrone, PA · Pain Clinic/Center in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.