MR. RANDALL EUGENE LAKES (NPI# 1689808396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689808396 |
| Entity Type | Individual |
| Full Name | MR. RANDALL EUGENE LAKES |
| Credential | RN |
| Practice Address |
30 E Apple St Suite 5250 Dayton OH 45409-2939 |
| Practice Telephone | 9372087723 |
| Practice Fax Number | 9372083855 |
| Mailing Telephone | 9372087723 |
| Mailing Fax Number | 9372083855 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0000X |
Registered Nurse Specialization: Pain Management |
RN268482 | OH | Nursing Service Providers |
| Street Address |
30 E APPLE ST SUITE 5250 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295086 | Pramila J Bharwani | Physician Assistant | 30 E Apple St, Suite 5253, Dayton, OH 45409-2939 | 2005-06-15 |
| 1790301836 | Linda M Gibson | Registered Nurse | 30 E Apple St, Dayton, OH 45409-2939 | 2020-06-24 |
| 1144874314 | Priscilla Ann Blevins | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2019-07-26 |
| 1700386877 | Anne Marie Flynn | Registered Nurse | 30 E Apple St, Suite 5254 A, Dayton, OH 45409 | 2018-02-15 |
| 1508376922 | Ashley Wang | Physician Assistant | 30 E Apple St, Dayton, OH 45409-2939 | 2017-10-11 |
| 1245769033 | Jessamine Sothard | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2017-06-06 |
| 1821524513 | Shanah Hammock | Nurse Practitioner | 30 E Apple St, #6250, Dayton, OH 45409-2939 | 2017-05-02 |
| 1467985283 | Fady Yousef Hijji | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-08 |
| 1902339187 | Maria Groh | Physician Assistant | 30 E Apple St, Suite 5254, Dayton, OH 45409-2939 | 2017-04-05 |
| 1336672443 | Thomas George Cheslik | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 163WP0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pain Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770790958 | April Lynn Hickey | Registered Nurse | Mcintire 2nd Floor One Wyoming Street, 1222 S. Patterson Blvd. Suite 390, Dayton, OH 45402 | 2007-05-17 |
| 1801209143 | Michael Gilles | Registered Nurse | 30 E Apple St Ste Nw3300, Dayton, OH 45409-2939 | 2014-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558887836 | Susan Lynn Bowman | Registered Nurse | 4095 Lytle Rd, Waynesville, OH 45068-8396 | 2017-08-17 |
| 1992350953 | Christine Marie Skilliter | Registered Nurse | 4235 Secor Rd Bldg 1, Toledo, OH 43623-4231 | 2019-08-07 |
| 1366925109 | Lacey Leigh Ann Stalnaker | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1757 | 2018-09-07 |
| 1750602132 | David Allen Boley II | Registered Nurse | 931 Chatham Ln, Columbus, OH 43221-2417 | 2010-06-19 |
| 1184957979 | Lauren Elizabeth Renner | Registered Nurse | 700 Childrens Dr, Children's Anesthesia Associates, Inc., Columbus, OH 43205-2664 | 2009-09-10 |
| 1316060593 | Stephanie Piquero | Registered Nurse | 700 Childrens Dr, Columbus, OH 43205-2664 | 2007-04-10 |
| 1427171602 | Nicole Jenkins | Registered Nurse | 700 Childrens Dr, Columbus, OH 43205-2664 | 2007-04-10 |
| 1699706077 | Veronica B Steffen | Registered Nurse | 3200 Vine St, M.l.118, Cincinnati, OH 45220 | 2006-07-05 |
| 1326036435 | Sharon Kay Wrona | Registered Nurse | 555 S 18th St, Columbus, OH 43205-2654 | 2005-10-12 |
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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.