NPIMap

Organization Active NPI

Lighthouse Family Medicine, Inc

  • Family Medicine Physician
  • Wasilla, AK
National Provider Identifier
1821040999
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4174 Issued in AK
Legal business name
LIGHTHOUSE FAMILY MEDICINE, INC
Practice address
290 N Willow St
Wasilla, AK 99654-7042
Phone
(907) 376-5337
NPI assigned
May 17, 2006
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Elizabeth C. Turgeon, M.D.
Title
Physician/Owner
Phone
(907) 376-5337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4174 AK Primary

Addresses

Primary practice location

290 N Willow St
Wasilla, AK 99654-7042

Mailing address

3061 N Lazy Eight CT
Wasilla, AK 99654-4319
Phone (907) 376-5337

Other identifiers 2

IdentifierTypeStateIssuer
MD06704MedicaidAK
MDG415MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1821040999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 N LAZY EIGHT CT",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996544319",
            "telephone_number": "907-376-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N WILLOW ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547042",
            "telephone_number": "907-376-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "TURGEON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "907-376-5337",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD06704",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG415",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.