Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark Edwin Lightowler II, PA-C

Individual provider Physician Assistant · NPI 1376000869

Mr. Mark Edwin Lightowler II, PA-C is a Physician Assistant in Bridgeport, Connecticut. Graduated from Tufts University School of Medicine in 2019, 7 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
7
Trained at
Tufts University School of Medicine
Licensed in
CT
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2800 Main St Dept OF
Bridgeport, CT 06606-4201
Phone: (203) 392-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 84 N Main St, Branford, CT 06405-3061 — (203) 483-2509
  • 2416 Whitney Ave Fl 1, Hamden, CT 06518-3248 — (203) 407-3550
  • 235 Boston Post Rd, Orange, CT 06477-3229 — (203) 795-4784
  • 330 Bridgeport Ave, Shelton, CT 06484-3861 — (203) 538-0020
  • 701 N Colony Rd, Wallingford, CT 06492-2407 — (203) 265-1800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5633 (CT)

Record details

NPI number1376000869
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2019
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address2800 Main St Dept Of, Bridgeport, CT 06606-4201

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Bridgeport