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DR. LADD DANIEL LAKE M.D. NPI 1023076874


NPI Information

NPI: 1023076874
Provider Name: DR. LADD DANIEL LAKE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
601 W LEOTA ST
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 696-7491
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DR. Ladd Daniel Lake, M.D. is a diagnostic radiology radiology in North Platte, NE with 26 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Ladd Daniel Lake, M.D. NPI is 1023076874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1998

The provider's business location address is:

601 W LEOTA ST
NORTH PLATTE, NE
ZIP 69101-525
Phone: (308) 696-7491
Fax: (308) 696-7432

The NPI 1023076874 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Mammography of both breasts (HCPCS:77067)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain (HCPCS:70450)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Ct scan chest (HCPCS:71250)
  • Ultrasound of head and neck (HCPCS:76536)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of face (HCPCS:70486)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Nuclear medicine study with ct imaging whole body (HCPCS:78816)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

The enumeration date for this NPI number is 5/2/2006 and was last updated on 5/31/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology22147NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11603089OTHERNEBRASKASHARE ADVANTAGE
2243897OTHERNEBRASKAMIDLANDS CHOICE
3I13485MEDICARE UPIN
4P00329788MEDICARE PINIOWA
520050OTHERIOWAWELLMARK BC/BS
610025186700MEDICAIDNEBRASKA
7279766MEDICARE PINNEBRASKA
8I17607MEDICARE PINIOWA
90585794MEDICAIDIOWA
10P00328135MEDICARE PINNEBRASKA
11605082700OTHERNEBRASKAUS DEPARTMENT OF LABOR
1204192OTHERNEBRASKABC/BS OF NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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