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

Kevin C Lake, RPA

Individual provider Medical Physician Assistant · NPI 1841253341

Kevin C Lake, RPA is a Physician Assistant in Syracuse, New York. Qualified in 2004, 22 years ago. Practices with Syracuse Orthopedic Specialists, PLLC, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

475 Irving Ave Ste 418
Syracuse, NY 13210-1756
Phone: (315) 426-0190
Fax: (315) 426-0192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 010298 (NY)

Record details

NPI number1841253341
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESJune 18, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Syracuse Orthopedic Specialists, Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Syracuse