Lighthouse Orthopaedic Associates

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

38853A Issued in FL

Legal business name

LIGHTHOUSE ORTHOPAEDIC ASSOCIATES

Practice address

9970 Central Park Blvd N Ste 400
Boca Raton, FL 33428-2236

Phone

(561) 483-1600

Fax

(561) 451-4732

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas J Goberville, MD

Title

President

Phone

(954) 942-0321

Specialties & licenses 1

Addresses

Tax ID family

Lighthouse Orthopaedic Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lighthouse Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Lighthouse Point, FL
  • NPI 1801960174
  NPD tax ID

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1568536282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 NE 25TH ST",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647744",
            "telephone_number": "954-942-0321",
            "fax_number": "954-946-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 400",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282236",
            "telephone_number": "561-483-1600",
            "fax_number": "561-451-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ORTHOPAEDIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "GOBERVILLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-942-0321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "38853A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ruth B Light, PT
• Lighthouse Medical Supply LLC
• Lighthouse Renal Group PA
• Valenso Lilavois, APRN
• Liliana Forero LLC
• Lilly Pads ABA Therapy Corp
• Allyson Lilly

• Orthopaedic Surgery Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.