Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lighthouse Medical LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1831478049

Lighthouse Medical LLC provides Pain Medicine (Anesthesiology) Physician services 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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