JOHN T LAKE (NPI# 1629270194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629270194 |
| Entity Type | Individual |
| Full Name | JOHN T LAKE |
| Credential | M.D. |
| Practice Address |
60 Doctors Park Lowr Level Cape Girardeau MO 63703 |
| Mailing Address |
60 Doctors Park Lowr Level Cape Girardeau MO 63703-4928 |
| Practice Telephone | 5735194949 |
| Practice Fax Number | 5735194665 |
| Mailing Telephone | 5735194949 |
| Mailing Fax Number | 5735194665 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
108382 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619081031 | John F Lake | Dentist | 286 Sw 4th St, Ontario, OR 97914-2610 | 2006-08-19 |
| 1952326027 | John Roger Lake Jr. | Dentist | 1322 Main St, Osterville, MA 02655-1542 | 2006-07-12 |
| 1215263017 | John Campbell Lake Jr. | Dentist | 2706 Main St, Newberry, SC 29108-4004 | 2009-10-29 |
| 1861561367 | John M Lake | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2006-11-07 |
| 1740360619 | John Richard Lake | Internal Medicine | University of Minnesota Physicians, 516 Delaware Street Se, Clinic 2a, Minneapolis, MN 55454-1478 | 2006-10-16 |
| 1871607739 | John Steven Lake | Dentist | 345 Tachevah Dr, Ste 1, Palm Springs, CA 92262 | 2006-08-18 |
| 1780798645 | John Herbert Lake | Dentist | 345 Tachevah Dr, Suite 1, Palm Springs, CA 92262 | 2006-08-18 |
| 1568497238 | John Russell Lake | Orthopaedic Surgery | 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942-3020 | 2006-07-11 |
| Street Address |
60 DOCTORS PARK LOWR LEVEL |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093931644 | Bradley D. Robison | Psychiatry & Neurology | 106 Farrar Dr, Suite 109, Cape Girardeau, MO 63701-4902 | 2007-04-18 |
| 1902845753 | Joseph Kadathalakunnel Sunny | Psychiatry & Neurology | Veterans Affairs Community Clinic, 2420 Veterans Memorial Dr, Cape Girardeau, MO 63701 | 2006-06-06 |
| 1184880783 | Courtney Bonner Johnson | Psychiatry & Neurology | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2008-08-03 |
| 1386804870 | Yasmin Dara Jilla | Psychiatry & Neurology | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2008-06-10 |
| 1568573038 | Kishore A Khot | Psychiatry & Neurology | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2006-08-31 |
| 1598876013 | Robert E Mccool | Psychiatry & Neurology | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2006-08-31 |
| 1144331687 | Reeta Rohatgi | Psychiatry & Neurology | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142368 | Julie Lafferty Md, LLC | Psychiatry & Neurology | 655 Craig Rd Ste 336, Creve Coeur, MO 63141-7171 | 2020-04-08 |
| 1831738574 | Gina Rivera Sokolich | Psychiatry & Neurology | 930 Kehrs Mill Rd Ste 325-13, Ballwin, MO 63011-2403 | 2019-12-28 |
| 1750939864 | Brave, LLC | Psychiatry & Neurology | 2100 Forum Blvd Ste C-2, Columbia, MO 65203-5436 | 2019-09-01 |
| 1275193906 | New Day Psychiatric Services | Psychiatry & Neurology | 9904 Clayton Rd Ste 135, Saint Louis, MO 63124-1149 | 2019-06-14 |
| 1073171344 | Himangshu Rathinakumar | Psychiatry & Neurology | University of Missouri 1 Hospital Drive Dco67.00, Columbia, MO 65212-0001 | 2019-06-03 |
| 1285194613 | Mind Matters LLC | Psychiatry & Neurology | 3201 S Providence Rd Ste 202, Columbia, MO 65203-3622 | 2019-03-21 |
| 1336607282 | Qsr Psychiatric Solutions LLC | Psychiatry & Neurology | 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 | 2019-03-11 |
| 1093209124 | Restorative Brain Clinic, Inc | Psychiatry & Neurology | 1010 Carondelet Dr Ste 112, Kansas City, MO 64114-4821 | 2018-06-21 |
| 1790277374 | Taiye Oluyomi Popoola | Psychiatry & Neurology | 1 Hospital Dr # 67.00, Columbia, MO 65212-1000 | 2018-05-31 |
| 1548709603 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 19203 Hazel Dell Rd, Higginsville, MO 64037-9162 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.