Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Edward Lake, MD

Individual provider Orthopaedic Surgery Physician · NPI 1205051430

Jason Edward Lake, MD is an Orthopedic Surgery in Gilbert, Arizona. Graduated from University of Arizona College of Medicine in 2004, 22 years ago. Practices with Orthopedic Specialists of North America PLLC, a 309-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Mississippi and Ohio.

Years since qualifying
22
Trained at
University of Arizona College of Medicine
Licensed in
AZ, MS, OH
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168
Phone: (480) 964-2908
Fax: (480) 833-2136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1675 E Melrose St Ste 101-103, Gilbert, AZ 85297-1001 — (602) 648-5444

Specialties & licences

Orthopaedic Foot and Ankle Surgery Physician (primary) Taxonomy 207XX0004X · Licence 42724 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 35. 093195 (OH)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 42724 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 19568 (MS)

Record details

NPI number1205051430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2007
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Orthopedic Specialists Of North America Pllc — 309 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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