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KAYSE LEE LAKE DPM NPI 1366686800


NPI Information

NPI: 1366686800
Provider Name: KAYSE LEE LAKE, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1266 ESCALANTE DR
SUITE 201
DURANGO, CO
ZIP 81303
Phone: (970) 253-5303
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Kayse Lee Lake, DPM is a foot and ankle surgery podiatrist in Durango, CO with 16 years of experience. Kayse Lee Lake, DPM NPI is 1366686800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2008

The provider's business location address is:

1266 ESCALANTE DR
SUITE 201
DURANGO, CO
ZIP 81303
Phone: (970) 253-5303
Fax: (970) 259-3510

The NPI 1366686800 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).

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 foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 4/28/2009 and was last updated on 9/10/2021.


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
1213ES0103XPodiatristFoot & Ankle Surgery348NEW MEXICONo
2213ES0103XPodiatristFoot & Ankle Surgery36.003558OHIONo
3213ES0103XPodiatristFoot & Ankle Surgery5063880-0501UTAHNo
4213ES0103XPodiatristFoot & Ankle Surgery710COLORADOYes

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
107501552MEDICAIDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.