Organization Active NPI

Lighthouse Pediatrics

  • Pediatrics Physician
  • Biloxi, MS
National Provider Identifier
1932315215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LIGHTHOUSE PEDIATRICS
Practice address
925 Tommy Munro Dr
Suite a
Biloxi, MS 39532-2134
Phone
(228) 388-3993
Fax
(228) 385-9941
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathryn Sigurnjak, M.D.NPI 1477584308
Title
Partner
Phone
(228) 388-3993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MS Primary

Addresses

Primary practice location

925 Tommy Munro Dr
Suite a
Biloxi, MS 39532-2134

Mailing address

925 Tommy Munro Dr
Suite a
Biloxi, MS 39532-2134
Phone (228) 388-3993

Other identifiers 1

IdentifierTypeStateIssuer
03500512MedicaidMS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0906523Lighthouse Pediatrics LLC925 Tommy Munro Blvd Suite a, Biloxi, MS 39532Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Locations

925 Tommy Munro Dr
Ste A
Biloxi, MS 39532
Phone (228) 388-3993

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932315215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 TOMMY MUNRO DR",
            "address_2": "SUITE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322134",
            "telephone_number": "228-388-3993",
            "fax_number": "228-385-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 TOMMY MUNRO DR",
            "address_2": "SUITE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322134",
            "telephone_number": "228-388-3993",
            "fax_number": "228-385-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIGURNJAK",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "228-388-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03500512",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.