OrganizationActive
Lighthouse Medical LLC
NPI 1831478049 · Pain Medicine (Anesthesiology) Physician · State College, PA
Provider details
- NPI number
- 1831478049
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Johnson, Ceo/Owner(814) 943-1271
- License
- MD438515 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs 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
253 Easterly Pkwy
Suite 1
State College, PA 16801-6301
Phone: (814) 308-8456
Fax: (814) 308-8728
Street-level locationGet directions
Mailing address
311 E. Pleasant Valley Blvd.
Altoona, PA 16602
Registry dates
- Enumerated
- 2011-08-05
- Last updated
- 2017-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.