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Lighthouse Medical LLC

Pain Medicine (Anesthesiology) Physician in State College, PA · enumerated 2011 · authorized official John Johnson, Ceo/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831478049

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Registry record

Entity type Organization (Type 2)
Legal business name Lighthouse Medical LLC
Practice address 253 Easterly Pkwy, Suite 1, State College, PA, 16801
Phone (814) 308-8456
Fax (814) 308-8728
Enumeration date Aug 5, 2011
Last updated in NPPES Feb 28, 2017

Taxonomy & classification

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License MD044867E (PA) Primary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License MD438515 (PA) Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License OS015480 (PA) Secondary

Authorized official

Name John Johnson
Title Ceo/Owner
Phone (814) 943-1271

Other identifiers

Identifier Type State Issuer
1020712560001 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Lighthouse Medical LLC?
Lighthouse Medical LLC is registered in NPPES as a Pain Medicine (Anesthesiology) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-28.