NPIMap

Organization Active NPI

Lighthouse Anesthesia PLLC.

  • Anesthesiology Physician
  • Arlington, TX
National Provider Identifier
1528616042
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LIGHTHOUSE ANESTHESIA PLLC.
Practice address
700 Highlander Blvd Ste 415
Arlington, TX 76015-4346
Phone
(817) 516-8811
Fax
(817) 516-8444
NPI assigned
Aug 28, 2019
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Xiao-En Fang, M.D.NPI 1770587016
Title
Owner/Auth Official
Phone
(214) 642-0760

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Interventional Pain Medicine Physician 208VP0014X

Addresses

Primary practice location

700 Highlander Blvd Ste 415
Arlington, TX 76015-4346

Mailing address

PO Box 731475
Dallas, TX 75373-1475
Phone (817) 516-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200331001918 TX Part B Supplier - Clinic/Group Practice 9335470574 Receives reassigned benefits from 24 practitioners
Practice locations: Jacksboro, TX; Lancaster, TX; Mansfield, TX; McKinney, TX; Mesquite, TX; Plano, TX; Richardson, TX; Dallas, TX…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1528616042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731475",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731475",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGHLANDER BLVD STE 415",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154346",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ANESTHESIA PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "XIAO-EN",
        "authorized_official_title_or_position": "OWNER/AUTH OFFICIAL",
        "authorized_official_telephone_number": "214-642-0760",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.