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.
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 |
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 |
Address | Phone | Organization |
---|---|---|
601 W Leota St, North Platte, NE 69101-6525 | 3085342288 | RADIOLOGY SERVICES, P.C. |
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 Legal Name | RADIOLOGY SERVICES, P.C. |
Physicians | 4 |
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 |
Street Address |
601 W LEOTA ST |
City | NORTH PLATTE |
State | NE |
Zip | 69101-6525 |
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 |
Find all physicians in the same address |
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 |
Find all physicians in zip 69101 |
City | NORTH PLATTE |
Zip Code | 69101 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | NORTH PLATTE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Ladd Daniel Lake.
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.