Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Medical LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1831478049

Lighthouse Medical LLC is a Pain Medicine (Anesthesiology) Physician in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

253 Easterly Pkwy Ste 1
State College, PA 16801-6301
Phone: (814) 308-8456
Fax: (814) 308-8728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence MD044867E (PA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MD438515 (PA)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence OS015480 (PA)

Record details

NPI number1831478049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Johnson — Ceo/Owner · (814) 943-1271
NPI enumeratedAugust 5, 2011
Last updated in NPPESFebruary 28, 2017
Mailing address311 E. Pleasant Valley Blvd., Altoona, PA 16602

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