JASON MICHAEL LAKE (NPI# 1225133820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225133820 |
| Entity Type | Individual |
| Full Name | JASON MICHAEL LAKE |
| Credential | M.D. |
| Practice Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
| Practice Telephone | 5096638711 |
| Mailing Telephone | 5096638711 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD60197811 | WA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01055969A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1225133820 | 05 | |
| WA | L&I | 0284329 | 01 |
| WA | RR MEDICARE | P01082412 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922304948 | Jason Bennett Lake | Social Worker | 1100 Logger Ct, G-103, Raleigh, NC 27609-8525 | 2011-02-09 |
| 1609195189 | Jason Greer Lake | Pediatrics | 1 Childrens Pl, 3s34, Saint Louis, MO 63110-1002 | 2010-05-24 |
| 1205051430 | Jason Edward Lake | Orthopaedic Surgery | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2171 | 2007-04-14 |
| 1629022777 | Jason S. Lake | Optometrist | 601 E Russell Ave, Warrensburg, MO 64093-9605 | 2006-05-22 |
| 1821048182 | Jason T Lake | Nurse Anesthetist, Certified Registered | 690 Canton St, Suite 325, Westwood, MA 02090-2321 | 2006-05-10 |
| Street Address |
820 N CHELAN AVE |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728329 | John J Loffarelli | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2005-05-23 |
| 1376166124 | Alonso Castro Aroyo | Optometrist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2020-05-27 |
| 1275190746 | Matthew L Karr | Pharmacist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-05-21 |
| 1891352381 | Victoria B Chong | Pharmacist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-05-21 |
| 1871159319 | Mary Zontek | Case Manager/Care Coordinator | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-05-09 |
| 1124585633 | Valerie Rose Wintler | Nurse Practitioner | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-02-21 |
| 1831654524 | Catherine Elisabeth Clift | Nurse Practitioner | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-02-06 |
| 1891265088 | Kelsey Marie Cibicki | Nurse Practitioner | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2018-11-29 |
| 1568956613 | Elizabeth Grace Schroeder | Occupational Therapist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2018-06-20 |
| 1942793757 | John Reese Bradburn | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801 | 2018-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588693113 | Gerald A Bassett | Internal Medicine | 175 E Penny Rd Ste C, Wenatchee, WA 98801-8127 | 2006-07-03 |
| 1891101374 | Soumil Shrihari Patwardhan | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2014-07-07 |
| 1952644346 | Owen Edson Baldwin | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2013-04-03 |
| 1174811608 | Siddharth Bhikhubhai Javia | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801 | 2011-07-18 |
| 1225285380 | Jennifer Marie Newton | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2008-08-20 |
| 1992901136 | Richard J Stitcher | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2007-06-25 |
| 1619032075 | Central Washington Gastroenterology, P.C. | Internal Medicine | 175 E Penny Rd Ste C, Wenatchee, WA 98801-8127 | 2006-12-26 |
| 1487740965 | Inku Hwang | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-10-04 |
| 1689693707 | Alan C Smith | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-07-19 |
| 1740206762 | Robert M Ogburn | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-07-14 |
| Find all providers in WENATCHEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.