NPIMap

Organization Active NPI

Lighthouse Medical, LLC

  • Interventional Pain Medicine Physician
  • Philipsburg, PA
National Provider Identifier
1598048787
Registry record updated Sep 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD044867E Issued in PA
Legal business name
LIGHTHOUSE MEDICAL, LLC
Practice address
601 N Front St
Suite a
Philipsburg, PA 16866-2303
Phone
(814) 342-2333
Fax
(814) 342-2277
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2011

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MC438515 PA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X MD044867E PA Primary

Addresses

Primary practice location

601 N Front St
Suite a
Philipsburg, PA 16866-2303

Mailing address

601 N Front St
Suite a
Philipsburg, PA 16866-2303
Phone (814) 342-2333

Other identifiers 1

IdentifierTypeStateIssuer
1020712560001MedicaidPA

Other names 1

  • Central PA Pain Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lighthouse Medical LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316908800000",
    "number": "1598048787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FRONT ST",
            "address_2": "SUITE A",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662303",
            "telephone_number": "814-342-2333",
            "fax_number": "814-342-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FRONT ST",
            "address_2": "SUITE A",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662303",
            "telephone_number": "814-342-2333",
            "fax_number": "814-342-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-25",
        "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": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MC438515",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD044867E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020712560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central PA Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philipsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; 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.