Lighthouse Pediatric Medicine PLLC
NPI 1336967611 · Pediatrics Physician · Issaquah, WA
Lighthouse Pediatric Medicine PLLC is a Pediatrics Physician organization in Issaquah, WA (NPI 1336967611).
Provider details
- NPI number
- 1336967611
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sung Park, Managing Member, Physician, Owner(425) 243-3599
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lighthouse Pediatrics
Registry dates
- Enumerated
- 2024-09-26
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is Lighthouse Pediatric Medicine PLLC's NPI number?
- Lighthouse Pediatric Medicine PLLC's National Provider Identifier (NPI) is 1336967611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lighthouse Pediatric Medicine PLLC?
- Lighthouse Pediatric Medicine PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lighthouse Pediatric Medicine PLLC located?
- Lighthouse Pediatric Medicine PLLC's practice location on file with NPPES is 1505 Nw Gilman Blvd Ste 8, Issaquah, WA 98027-5398.
- What is Lighthouse Pediatric Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lighthouse Pediatric Medicine PLLC is (425) 243-3599.
- Who is the authorized official for Lighthouse Pediatric Medicine PLLC?
- The authorized official listed on Lighthouse Pediatric Medicine PLLC's NPPES record is Sung Park, Managing Member, Physician, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lighthouse Pediatric Medicine PLLC's NPI active?
- Yes — Lighthouse Pediatric Medicine PLLC's NPI (1336967611) is active in the NPPES registry as of the last update on 2024-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.