DR. ROBERT SCOTT LAKE (NPI# 1487696019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487696019 |
| Entity Type | Individual |
| Full Name | DR. ROBERT SCOTT LAKE |
| Credential | MD |
| Practice Address |
109 Bee St Charleston SC 29401 |
| Mailing Address |
109 Bee St Charleston SC 29401-5703 |
| Practice Telephone | 8435775011 |
| Mailing Telephone | 8435775011 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 22236 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
22236 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P00269321 | 01 | |
| SC | 222360 | 05 | |
| SC | RAILROAD MEDICARE ID-RSFPP | P00727226 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568589463 | Robert Dale Lake | Dentist | 16882 Bolsa Chica St, Suite 204, Huntington Beach, CA 92649-3592 | 2007-03-23 |
| 1255445110 | Robert Michael Lake | Dentist | 345 Tachevah Dr, Ste 1, Palm Springs, CA 92262 | 2006-08-18 |
| 1164550018 | Robert Martin Lake | Internal Medicine | 24100 Amador St, Winton Wellness Center, Hayward, CA 94544-1273 | 2007-03-01 |
| Street Address |
109 BEE ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485957 | Amy Marie Perry | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2005-05-23 |
| 1114525102 | Freddie Lee Bellamy | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2020-10-13 |
| 1467068726 | Jonathan Mansfield | Pharmacist | 109 Bee St, Charleston, SC 29401-5703 | 2020-09-21 |
| 1427661255 | Amy James | Registered Nurse | 109 Bee St, Charleston, SC 29401-5703 | 2020-08-31 |
| 1528670304 | Heather Holden | Clinical Neuropsychologist | 109 Bee St, Charleston, SC 29401-5703 | 2020-08-21 |
| 1487279212 | Marlee Silversmith | Student in an Organized Health Care Education/Training Program | 109 Bee St, Charleston, SC 29401-5703 | 2020-06-08 |
| 1881218576 | Tonisha D Cabbagestalk | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2020-05-29 |
| 1063034825 | Michael Morris | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2020-05-14 |
| 1346862729 | Betsy Jean Kroger | Counselor | 109 Bee St, Charleston, SC 29401-5703 | 2020-05-08 |
| 1477173425 | Amy M Millett | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194132852 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Suite 201w, Charleston, SC 29414 | 2014-07-15 |
| 1255756532 | Roper Saint Francis Physicians Network | Internal Medicine | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414 | 2014-02-24 |
| 1326378589 | Roper Saint Francis Physicians Network | Internal Medicine | 125 Doughty St, Suite 390, Charleston, SC 29403-5736 | 2010-01-11 |
| 1669613733 | Roper Saint Francis Physicians Network | Internal Medicine | 316 Calhoun St, Charleston, SC 29401 | 2009-03-18 |
| 1689893455 | Deborah Jennings Cotes | Internal Medicine | 3100 Maccorkle Ave Se, Suite 407, Charleston, WV 25304-1223 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100188 | Alegis Care South Carolina PC | Internal Medicine | 330 E Coffee St Ste 4011, Greenville, SC 29601-2804 | 2020-10-01 |
| 1083198469 | Helping Hands Hospice of South Carolina LLC | Internal Medicine | 136 Sporthorse Ln, Aiken, SC 29803-2930 | 2018-09-20 |
| 1942250642 | Interim Health Care Hospice LLC | Internal Medicine | 16 Hyland Rd, Greenville, SC 29615-5756 | 2006-05-11 |
| 1427053081 | Lower Cape Fear Hospice, Incorporated | Internal Medicine | 8216 Devon Ct, Myrtle Beach, SC 29572-4178 | 2005-06-20 |
| 1134606221 | Tonya Marshall | Internal Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2018-07-23 |
| 1164913224 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-05-24 |
| 1740677624 | Jessie Tenet | Internal Medicine | 222 Herlong Ave S, Rock Hill, SC 29732-1158 | 2015-04-19 |
| 1669868881 | Christopher Joseph Cauto | Internal Medicine | 9330 Medical Plaza Dr, North Charleston, SC 29406-9195 | 2015-04-14 |
| 1851712160 | Pharmacum Medical Center | Internal Medicine | 1007 Grove Rd, Suite D, Greenville, SC 29605-4630 | 2014-01-05 |
| 1962754234 | Quality Health Partners, LLC | Internal Medicine | 5110 Woodside Executive Ct, Aiken, SC 29803-3814 | 2012-10-10 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
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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.