Organization
LIGHTHOUSE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H. JOHNSON MD (CEO/OWNER)
(814) 943-1271
Entity
Organization
Contact information
Practice address
253 EASTERLY PKWY, SUITE 1, STATE COLLEGE, PA 16801-6301
(814) 308-8456
(814) 308-8728
Mailing address
311 E. PLEASANT VALLEY BLVD., ALTOONA, PA 16602
(814) 943-1271
(814) 940-8516
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD044867E
PA
208100000X
Physical Medicine & Rehabilitation Physician
MD438515
PA
208VP0014X
Interventional Pain Medicine Physician
OS015480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020712560001
—
PA
Enumeration date
08/05/2011
Last updated
02/28/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us