JASON MICHAEL LAKE M.D. NPI 1225133820

NPI Information

  • NPI: 1225133820
  • Provider Name: JASON MICHAEL LAKE, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 820 N CHELAN AVE
    WENATCHEE, WA
    ZIP 98801
  • Phone: (509) 663-8711

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NPI Details

Jason Michael Lake, M.D. is a gastroenterology internal medicine in Wenatchee, WA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Jason Michael Lake, M.D. NPI is 1225133820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

820 N CHELAN AVE
WENATCHEE, WA
ZIP 98801-028
Phone: (509) 663-8711

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.

  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/9/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology01055969AINDIANANo
2207RG0100XInternal MedicineGastroenterologyMD60197811WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01082412OTHERWASHINGTONRR MEDICARE
2G8919984MEDICARE PINWASHINGTON
3G8902616MEDICARE PINWASHINGTON
40284329OTHERWASHINGTONL&I
51225133820MEDICAIDWASHINGTON

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: 3/30/2025

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