DR. SUSAN E LAKE (NPI# 1306003835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306003835 |
| Entity Type | Individual |
| Full Name | DR. SUSAN E LAKE |
| Credential | D.O |
| Practice Address |
4550 N Hamilton Rd Gahanna OH 43230-1714 |
| Practice Telephone | 6144288200 |
| Practice Fax Number | 6144289700 |
| Mailing Telephone | 6144288200 |
| Mailing Fax Number | 6144289700 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34005856 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0132412 | 05 | |
| OH | STATE LIC | 34005856 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1750586582 | Susan P. Lake | Speech-Language Pathologist | 518 Meadow Mountain Dr., 518 Meadow Mountain Dr., Allenspark, CO 80510-0012 | 2007-06-20 |
| 1285687210 | Susan Lake | Optometrist | 601 E Russell Ave, Suite A, Warrensburg, MO 64093-9605 | 2006-05-19 |
| 1962784488 | Susan Lake | Psychologist | 4150 Clement St, 116b, San Francisco, CA 94121-1545 | 2011-09-10 |
| 1366679664 | Susan D Lake | Registered Nurse | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2009-06-15 |
| Street Address |
4550 N HAMILTON RD |
| City | GAHANNA |
| State | OH |
| Zip Code | 43230-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275603722 | Gahanna Medical Practices Inc | Family Medicine | 4550 N Hamilton Rd, Gahanna, OH 43230 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518695 | Adonna Fuller | Technician | 14o Imperial Drive, Apt 120, Gahanna, OH 43230 | 2020-11-02 |
| 1407471733 | Brent Flory | Counselor | 425 South Hamilton, Gahanna, OH 43230 | 2020-06-12 |
| 1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
| 1447718010 | Yolanda Renee Davis | Case Manager/Care Coordinator | 1490 E Main St., Columbus, OH 43230 | 2019-03-03 |
| 1699261537 | Cap City Supported Living & Homecare Services, LLC | Home Health | 2305 South Hamilton Road, Suite 216, Columbus, OH 43230 | 2018-07-03 |
| 1467957183 | Kendra Marie Peterson | Specialist/Technologist | 1011 Arcaro Drive, Gahanna, OH 43230 | 2018-03-26 |
| 1467956805 | Beatrice Njeri Gachoro | Registered Nurse | 4484 Shady Blossom Ln, Columbus, OH 43230 | 2018-03-21 |
| 1760900211 | Centra Home Health Care, LLC | Home Health | 4745 Legare Ln, Columbus, OH 43230 | 2017-09-05 |
| 1386164325 | Ziad Al Hennawi | Dentist | 4034 Morse Rd, Columbus, OH 43230 | 2017-06-21 |
| 1336675503 | Fresenius Medical Care New Albany, LLC | Clinic/Center | 991 E Johnstown Rd, Gahanna, OH 43230 | 2017-05-10 |
| Find all providers in zip 43230 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437682960 | Columbus Podiatry & Surgery, Inc. | Family Medicine | 4605 Morse Rd #100, Gahanna, OH 43230-7300 | 2017-04-11 |
| 1902224736 | Sara Richelle Allen | Family Medicine | 725 Buckles Ct N Ste 100, Gahanna, OH 43230-6884 | 2014-03-29 |
| 1275603722 | Gahanna Medical Practices Inc | Family Medicine | 4550 N Hamilton Rd, Gahanna, OH 43230 | 2006-11-09 |
| 1033291026 | Patricia Ann Bacon | Family Medicine | 1045 Beecher Crossing N, Suite B, Gahanna, OH 43230-4573 | 2006-10-19 |
| 1043325855 | Drs. Bacon & Hooper, Inc. | Family Medicine | 1045 Beecher Crossing North, Suite B, Gahanna, OH 43230 | 2006-08-20 |
| 1073577755 | Robert K May | Family Medicine | 648 Taylor Rd, Gahanna, OH 43230-3202 | 2006-04-12 |
| 1386610269 | Joseph G Lutz | Family Medicine | 504 Havens Corners Rd, Gahanna, OH 43230-8104 | 2006-02-28 |
| 1326028770 | David M Walker | Family Medicine | 725 Buckles Court North, Suite 100, Gahanna, OH 43230 | 2006-01-20 |
| 1407835572 | Dwight Justin Goddard | Family Medicine | 765 N Hamilton Rd Ste 255, Gahanna, OH 43230-8703 | 2006-01-17 |
| 1104826494 | Kristina Sue Schumacher | Family Medicine | 206 W Johnstown Rd, Gahanna, OH 43230-2731 | 2005-07-28 |
| Find all providers in GAHANNA | ||||
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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.