Individual provider Active NPI

John K Lightfoot, MD

  • Emergency Medicine Physician
  • Bowling Green, OH
National Provider Identifier
1740348127
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
88893 Issued in OH
Practice address
950 W Wooster St
Wood County Hospital Emergency Dept.
Bowling Green, OH 43402-2603
Phone
(419) 373-7642
NPI assigned
Dec 5, 2006
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301078778 MI
Emergency Medicine Physician 207P00000X 214923 NY
Emergency Medicine Physician 207P00000X 88893 OH Primary

Addresses

Primary practice location

950 W Wooster St
Wood County Hospital Emergency Dept.
Bowling Green, OH 43402-2603

Mailing address

1103 Pearl St
Bowling Green, OH 43402-2663

Other identifiers 1

IdentifierTypeStateIssuer
02298635MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, PA, WI, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20121020000036 MI Practitioner - Emergency Medicine 0547291502 Reassigns benefits to 11 organizations
I20171201000478 PA Practitioner - Emergency Medicine 0547291502 Reassigns benefits to 2 organizations
I20200424000694 WI Practitioner - Emergency Medicine 0547291502 Reassigns benefits to 2 organizations
I20240624003242 TN Practitioner - Emergency Medicine 0547291502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301078778MIMDEmergency Medicine Physician
214923NYMDEmergency Medicine Physician
88893OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Michigan Emergency Services, PC CurrentSince May 1, 2018 Accepting new patients
Aspirus Keweenaw CurrentSince Sep 1, 2024 Accepting new patients
Hawk Emergency Group, P.C. Emergency Medicine CurrentSince Mar 3, 2024 Accepting new patients
Northwestern Michigan Emergency Physicians PC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Portage Physician Practices Inc CurrentSince May 15, 2017 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Portage Physician Practices Inc Emergency Medicine Current Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Aspirus Keweenaw CurrentSince Sep 1, 2024 Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 1, 2017 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC Emergency Medicine CurrentSince Jan 2, 2017 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Portage Physician Practices Inc. Emergency Medicine CurrentSince May 15, 2017 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince May 21, 2024 Accepting new patients
Dickinson County Healthcare System CurrentSince Sep 19, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Clearfield Hospital Emergency Medicine Past Accepting new patients
Emergency Care Specialists PC Emergency Medicine PastSince Apr 1, 2020 Accepting new patients
Clearfield Hospital Past Accepting new patients
Ladd Memorial Hospital Past Accepting new patients
Internal Medicine Solutions PLLC PastSince Dec 9, 2019 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

Interoperability endpoints

  • Direct secure messaging: jlightfoot71000@direct.covenanthealthcare.com

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1740348127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 PEARL ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W WOOSTER ST",
            "address_2": "WOOD COUNTY HOSPITAL EMERGENCY DEPT.",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022603",
            "telephone_number": "419-373-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301078778",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "214923",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "88893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02298635",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.