Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Edward Lake, MD
Nephrology Physician in Oshkosh, WI · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1336131101
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Registry record
Entity type Individual (Type 1)
Name Edward Lake
Credential MD
Sex Male
Practice address 855 N Westhaven Dr, Oshkosh, WI, 54904
Phone (920) 303-5626
Fax (920) 303-5632
Enumeration date Aug 18, 2005
Last updated in NPPES Oct 31, 2023
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31925100 | Medicaid | WI | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Edward Lake?
Edward Lake is registered in NPPES with the primary taxonomy of Nephrology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-31.