ANGEL ANTHONY LAKE (NPI# 1205978335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205978335 |
| Entity Type | Individual |
| Full Name | ANGEL ANTHONY LAKE |
| Credential | MD |
| Practice Address |
4007 Diamond Ruby Christiansted VI 00820 |
| Mailing Address |
Po Box 371 Christiansted VI 00821-0371 |
| Practice Telephone | 3407786311 |
| Mailing Telephone | 3407785989 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 1365 | VI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VI | VI LIC NUMBER | 1365 | 01 |
| Street Address |
4007 DIAMOND RUBY |
| City | CHRISTIANSTED |
| State | VI |
| Zip Code | 00820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104807064 | Lourdes Neugart | Psychiatry & Neurology | 4007 Diamond Ruby, Christiansted, VI 00820-4417 | 2005-11-08 |
| 1043559610 | Donna Lockhart-philip | Advanced Practice Midwife | 4007 Diamond Ruby, Christiansted, VI 00820 | 2013-02-02 |
| 1174654172 | Advanced Radiology LLC | Clinical Medical Laboratory | 4007 Diamond Ruby, Christiansted, VI 00820-4421 | 2007-03-08 |
| 1033130604 | Rita Brin | Nurse Anesthetist, Certified Registered | 4007 Diamond Ruby, Christiansted, VI 00820 | 2006-07-21 |
| 1265472997 | Jong Hwa Park | Emergency Medicine | 4007 Diamond Ruby, Christiansted, VI 00820-4417 | 2006-06-08 |
| 1689621153 | Ronald L Anders | Obstetrics & Gynecology | 4007 Diamond Ruby, Christiansted, VI 00820-4417 | 2006-05-28 |
| 1962458547 | Roy Zech Arcamo | Physician Assistant | 4007 Diamond Ruby, Christiansted, VI 00820-4417 | 2006-05-26 |
| 1770538928 | Robert R Bumann | Anesthesiology | 4007 Diamond Ruby, Christiansted, VI 00820-4417 | 2006-05-24 |
| 1518911098 | Leslie J Burton | Family Medicine | 4007 Diamond Ruby, Christiansted, VI 00820-4417 | 2006-05-20 |
| 1740243385 | Scott Kimberly Morris | Physician Assistant | 4007 Diamond Ruby, Christiansted, VI 00820-4417 | 2006-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575610 | Family Medicine Associates & Consultants, Pllc | Family Medicine | Island Medical Center; Suite 301, 4500 Sunny Isle, Christiansted, VI 00820 | 2020-10-12 |
| 1013530294 | The Turning Point Senior Care LLC | In Home Supportive Care | 246-c Estate Glynn, Kingshill, VI 00820 | 2020-05-22 |
| 1871115956 | Nneka Igwemadu | Pharmacist | Sunny Isles Shopping Center, Unit 1, St.croix, VI 00820 | 2020-05-12 |
| 1639720428 | Jade Family Therapy | Clinic/Center | 2201 Church Street, Suite 16ab Second Floor, Christiansted, VI 00820 | 2019-09-24 |
| 1003467010 | Cody Matthew Rea | Physical Therapy Assistant | 4201 (201-202) Estate Ruby, Christianstead, VI 00820 | 2019-09-23 |
| 1639723943 | Peter W Stewart | Health Educator | 2d Estate Princess, Abc Building, Christiansted, VI 00820 | 2019-07-25 |
| 1013570308 | Hunter Garrison | Physical Therapist | 201 - 202 Estate Ruby, Christiansted, VI 00820 | 2019-04-22 |
| 1154882371 | Jessica Erin Carter | Physician Assistant | 4423 Queen Mary Hwy, Christiansted, VI 00820 | 2019-03-29 |
| 1023596418 | Camille Marise Paul | Physician Assistant | 4500 Sunny Isle, Ste. 9, Island Medical Center, Christiansted, VI 00820 | 2018-07-30 |
| 1245722669 | Berlina Wallace-berube | Counselor | 100b La Grande Princesse, Christiansted, VI 00820 | 2018-06-01 |
| Find all providers in zip 00820 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841598596 | Dialysis Access Specialists, LLC | Internal Medicine | 5 Orange Grove, Christiansted, VI 00820 | 2011-03-04 |
| 1083621742 | Risa M Nielsen | Internal Medicine | Island Medical Center, Suite 11, Christiansted, VI 00820 | 2006-08-02 |
| 1396730727 | Carmen Beatrice Cintron | Internal Medicine | 2024 Estate Mount Welcome, Ste 10, Christiansted, VI 00820-3610 | 2005-09-12 |
| 1750375671 | Jan B Tawakol | Internal Medicine | 3004 Orange Grove, Suite 2, Christiansted, VI 00820-4288 | 2005-09-07 |
| 1396997003 | Kirana Kefalos | Internal Medicine | 3227 Estate Golden Rock, Suite #4, Christiansted, VI 00820 | 2008-10-14 |
| 1730165986 | Ramesh Billy Lakhram | Internal Medicine | 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 | 2005-12-20 |
| 1841286374 | Tasnim Khan | Internal Medicine | 3004 Orange Grove, Suite 2, Christiansted, VI 00820 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184997678 | Northside Medical LLC | Internal Medicine | 252 Estate Glynn, Agape Medical Center, Kingshill, VI 00850-9826 | 2012-02-15 |
| 1326298217 | Internal Med Inc. | Internal Medicine | 40eg La Grange, Frederiksted, St.croix, VI 00840 | 2008-09-26 |
| 1689855934 | Jennifer L Walker | Internal Medicine | 9901 Emmaus, St John, VI 00830-9587 | 2007-11-15 |
| 1346454964 | Leslie-ann Williams | Internal Medicine | 9151 Estate Thomas 104, St Thomas, VI 00802-2711 | 2007-05-10 |
| 1487724100 | Robert Charles Mcmullen | Internal Medicine | 18-23 Enighed, St John, VI 00831 | 2006-11-09 |
| 1225131220 | Murli Daswani | Internal Medicine | Above 7-11 Sugar Estate Road, Suite 204, St Thomas, VI 00801 | 2006-09-06 |
| 1184730517 | Thelma Ruth Watson | Internal Medicine | Schneider Regional Hospital, 9048 Sugar Estate, St. Thomas, VI 00802 | 2006-08-21 |
| 1710920723 | Marilyn Jo Nutter | Internal Medicine | 48 Sugar Estate, St. Thomas, VI 00802 | 2006-06-14 |
| 1548210917 | Linda Cerina Callwood | Internal Medicine | 1403 Sugar Estate, St Thomas, VI 00802-2711 | 2006-05-10 |
| 1891781472 | Tomas C Evangelista | Internal Medicine | 42 King Street, Fredericksted, VI 00840 | 2005-09-20 |
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| City | CHRISTIANSTED |
| Zip Code | 00820 |
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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.