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

Individual provider Internal Medicine Physician · NPI 1619286473

Jordan Joseph Lichty, MD is an Anesthesiology in State College, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Mount Nittany Medical Center, a 41-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1800 E Park Ave
State College, PA 16803-6709
Phone: (814) 231-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD452089 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT197760 (PA)

Record details

NPI number1619286473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2010
Last updated in NPPESMarch 8, 2015
Mailing addressPo Box 16, State College, PA 16804-0016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mount Nittany Medical Center — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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