Active NPI
John K Lightfoot, MD
- Emergency Medicine Physician
- Bowling Green, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 88893
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02298635 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, PA, WI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078778 | MI | MD | Emergency Medicine Physician |
| 214923 | NY | MD | Emergency Medicine Physician |
| 88893 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Michigan Emergency Services, PC | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Hawk Emergency Group, P.C. | Emergency Medicine | Current | Accepting new patients |
| Northwestern Michigan Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Portage Physician Practices Inc | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Portage Physician Practices Inc | Emergency Medicine | Current | Accepting new patients |
| Degara App, PLLC | Emergency Medicine | Current | Accepting new patients |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Michigan, PLLC | Emergency Medicine | Current | Accepting new patients |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Portage Physician Practices Inc. | Emergency Medicine | Current | Accepting new patients |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Putnam Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Dickinson County Healthcare System | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Dubois Regional Medical Center | Emergency Medicine | Current | Accepting new patients |
| Clearfield Hospital | Emergency Medicine | Past | Accepting new patients |
| Emergency Care Specialists PC | Emergency Medicine | Past | Accepting new patients |
| Clearfield Hospital | Past | Accepting new patients | |
| Ladd Memorial Hospital | Past | Accepting new patients | |
| Internal Medicine Solutions PLLC | Past | 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
- 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.
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1265976971
-
dba Penn Highlands DuBois Emergency Department
- Emergency Medicine Physician
- Du Bois, PA
- NPI 1992802391
-
- Emergency Medicine Physician
- Charlevoix, MI
- NPI 1073295135
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1073597944
-
- Internal Medicine Physician
- Hancock, MI
- NPI 1225461684
Emergency Medicine
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1891475752
-
- Emergency Medicine Physician
- Adrian, MI
- NPI 1568913473
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center - Dickinson
- Critical Access Hospital
- Iron Mountain, MI
- NPI 1841188604
-
dba Osceola Medical Center
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.