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NICHOLAS HELLER LAKE M.D.
NPI 1669851416
Orthopaedic Surgery - Hand Surgery in Portsmouth, VA

Active since May 27, 2015
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(858) 525-2842 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2022, Aug 25, 2020, Oct 10, 2016 (3 updates tracked since 2016).

About Nicholas Heller Lake M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS HELLER LAKE M.D. (NPI 1669851416) is an individual hand surgery provider in Portsmouth, Virginia, licensed in Nebraska (29393) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1669851416
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameNICHOLAS HELLER LAKECredential: M.D.
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address4601 Park Rd Ste 300Charlotte, NC 28209-2290 · (704) 323-2505
Phone(858) 525-2842
Sole ProprietorNo
Enumeration DateMay 27, 2015
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1669851416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in NE · 29393
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2020-02932 (NC)
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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Other Identifiers 1

Other0397730007NC · Nsc#

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Lake's NPI number?

The NPI number for Nicholas Lake is 1669851416. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Nicholas Lake located?

Nicholas Lake practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (858) 525-2842.

What is Nicholas Lake's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

When was this NPI record last updated?

The NPPES record for Nicholas Lake was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.