Mrs. Pearl A Lake (NPI# 1053907261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1053907261 |
| Entity Type | Individual |
| Full Name | Mrs. Pearl A Lake |
| Gender | Female |
| Practice Address |
2214 S 57th St Philadelphia PA 19143-5705 |
| Practice Telephone | 8868848807 |
| Practice Fax Number | 2158255161 |
| Mailing Address |
2250 E Monmouth St Philadelphia PA 19134-4103 |
| Mailing Telephone | 2678848807 |
| Mailing Fax Number | 2158255161 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-12-12 |
| Last Update Date | 2020-12-12 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 171000000X | Military Health Care Provider | Other Service Providers | 7000.000000634RM | PA |
| No | 171000000X | Military Health Care Provider | Other Service Providers | 70000634RMA | PA |
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245836790 | Sianni Unique Wiggins | Military Health Care Provider | 4236 N Carlisle St, Philadelphia, PA 19140-1912 | 2020-12-09 |
| 1740307099 | Uscg Sector Delaware Bay | Military Health Care Provider | 1 Washington Ave, Philadelphia, PA 19147-4335 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306109582 | Jessica Lee Mash | Military Health Care Provider | 3456 Beale Ave, Altoona, PA 16601-1312 | 2012-06-21 |
| 1598828576 | Jack Dennis Volpe | Military Health Care Provider | 258 Gary Lynn Dr, Penfield, PA 15849-2220 | 2006-12-19 |
| 1689664666 | Elnora S De Leon | Military Health Care Provider | 5450 Carlisle Pike, Bldg 23 A, Mechanicsburg, PA 17050-2411 | 2005-10-21 |
| 1730722075 | Nichele Oglesby | Military Health Care Provider | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2019-10-18 |
| 1447657770 | Elizabeth Helen Ameigh | Military Health Care Provider | 401 Penn Ave, Scranton, PA 18503-1213 | 2014-12-02 |
| 1134559594 | Eric Miller | Military Health Care Provider | 7180 Highland Dr, Pittsburgh, PA 15206-1206 | 2013-11-22 |
| 1023270139 | Alvin Warren | Military Health Care Provider | 1010 Delafield Rd, Pittsburgh, PA 15240-1005 | 2008-06-30 |
| 1225217482 | Claudia Marie Roberts | Military Health Care Provider | 155 Wilson Ave, Washington, PA 15301-3336 | 2007-10-24 |
| 1083814412 | Margaret Mary Casteel | Military Health Care Provider | 7180 Highland Dr, Bldg 5, 122b-h, Pittsburgh, PA 15206-1206 | 2007-07-24 |
| 1346344736 | Richard Victor Brown | Military Health Care Provider | Veterans Administration Medical Center, University Drive C, Pittsburgh, PA 15240 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
| Street Address |
2214 S 57TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | Home Health | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.l.c. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| City | PHILADELPHIA |
| Zip Code | 19143 |
Please comment or provide details below to improve the information on Mrs. Pearl A Lake.
| 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.