Ladd Daniel Lake
RADIOLOGY SERVICES, P.C.


Address: 601 W Leota St, North Platte, NE 69101-6525
Phone: 3085342288

Ladd Daniel Lake (NPI# 1023076874, PAC ID# 9032184536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1023076874
PAC ID by PECOS 9032184536
Professional Enrollment ID I20040828000132
Full Name Ladd Daniel Lake
Organization Legal Name RADIOLOGY SERVICES, P.C.
Address 601 W Leota St
North Platte
NE 69101-6525
Phone Number 3085342288
Gender M
Credential MD
Medical School UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 1998
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialties INTERVENTIONAL RADIOLOGY
Group Practice PAC ID 5395710800
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
280065 GREAT PLAINS HEALTH
281363 COMMUNITY HOSPITAL
281356 PERKINS COUNTY HEALTH SERVICES
281365 JENNIE M MELHAM MEMORIAL MEDICAL CENTER
281313 GOTHENBURG MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
601 W Leota St, North Platte, NE 69101-6525 3085342288 RADIOLOGY SERVICES, P.C.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_147_overall Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy 79%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 100%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 100%

Organization Information

Organization Legal Name RADIOLOGY SERVICES, P.C.
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
David Clark Hatch Diagnostic Radiology Radiology Services, P.C. 601 W Leota St, North Platte, NE 69101-6525
Rick A Kukulka Diagnostic Radiology Radiology Services, P.C. 601 W Leota St, North Platte, NE 69101-6525
Bradley A. Mattson Diagnostic Radiology Radiology Services, P.C. 601 W Leota St, North Platte, NE 69101-6525

Office Location

Street Address 601 W LEOTA ST
City NORTH PLATTE
State NE
Zip 69101-6525

Physicians in the same location

Name Specialty Organization Address
Matthew L Walker Psychiatry North Platte Nebraska Hospital Corporation 601 W Leota St, Great Plains Health, North Platte, NE 69101-6598
Nishanthika Navaratnarajah Hospitalist North Platte Nebraska Hospital Corporation 601 W Leota St, Great Plains Health, North Platte, NE 69101-6598
Narayana M Koduri Psychiatry North Platte Nebraska Hospital Corporation 601 W Leota St, Great Plains Health, North Platte, NE 69101-6598
Todd Eugene Hlavaty Radiation Oncology 601 W Leota St, North Platte, NE 69101-6525
Ravishankar V Kalaga Cardiovascular Disease (cardiology) North Platte Nebraska Hospital Corporation 601 W Leota St, Great Plains Health, North Platte, NE 69101-6598
Olivia M Necola Internal Medicine North Platte Nebraska Hospital Corporation 601 W Leota St, Great Plains Health, North Platte, NE 69101-6598
Ahmed Awais Hematology/oncology North Platte Nebraska Hospital Corporation 601 W Leota St, Great Plains Health, North Platte, NE 69101-6598
Demytra Mitsis Medical Oncology North Platte Nebraska Hospital Corporation 601 W Leota St, Great Plains Health, North Platte, NE 69101-6598
Jiashan Wang Internal Medicine North Platte Nebraska Hospital Corporation 601 W Leota St, Great Plains Health, North Platte, NE 69101-6598
Raj K Goje Hospitalist North Platte Nebraska Hospital Corporation 601 W Leota St, Great Plains Health, North Platte, NE 69101-6598
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Physicians in the same zip code

Name Specialty Organization Address
Danny L Roelfs Physician Assistant Greater Nebraska Dermatology Clinic, P.C. 2509 Hallligan Dr E, North Platte, NE 69101
Imanual Somers-dehaney Diagnostic Radiology Foundation Radiology Group PC 8353 S Sagebrush Rd, North Platte, NE 69101-0472
Robin K Compton Certified Registered Nurse Anesthetist (crna) North Platte Surgery Center Anesthesia, LLC 621 W Francis St, North Platte, NE 69101-0608
Gregory T Mccabe Anesthesiology North Platte Surgery Center Anesthesia, LLC 621 W Francis St, North Platte, NE 69101-0608
Jody L Jondro Certified Registered Nurse Anesthetist (crna) North Platte Surgery Center Anesthesia, LLC 621 W Francis St, North Platte, NE 69101-0608
Michael L Pochop Anesthesiology North Platte Surgery Center Anesthesia, LLC 621 W Francis St, North Platte, NE 69101-0608
Millie Erickson Urology North Platte Nebraska Hospital Corporation 611 W Francis St, North Platte, NE 69101-0614
Henrik Mike-mayer Orthopedic Surgery North Platte Nebraska Hospital Corporation 611 W Francis St, North Platte, NE 69101-0614
Jesse D Dunn Family Medicine Midlands Family Medicine 611 W Francis St, Suite 100, North Platte, NE 69101-0614
Jefrey Start Family Medicine North Platte Nebraska Hospital Corporation 611 W Francis St, North Platte, NE 69101-0614
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Competitor

Search similar physicians

City NORTH PLATTE
Zip Code 69101
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty NORTH PLATTE + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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