SPENCER T. LAKE MD – NPI #1316203607
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

SPENCER LAKE is a radiologist located in TACOMA, WA. NPPES has assigned the NPI number 1316203607 to SPENCER LAKE on April 11, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Oct 15, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPENCER LAKE below.

NPI Profile for
SPENCER T. LAKE

NPI Number
1316203607
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SPENCER T. LAKE
Credentials
MD
Primary location
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Phone: (253) 761-4200 Fax: (253) 761-4201
3 Other location(s):
222 15th Ave SE
Puyallup, WA 98372-3754
Phone: (253) 841-4353
Fax: (253) 583-8630
209 Martin Luther King Jr Way
Tacoma, WA 98405-4267
Phone: (253) 596-3300
Fax: (253) 596-3301
2502 S Union Ave
Tacoma, WA 98405-1328
Phone: (253) 761-9482
Fax: (253) 759-6252
Mailing address
PO BOX 1535
TACOMA, WA 98401-1535
Phone: (253) 761-4200 Fax: (253) 383-3553
Sole Proprietor
No
Updated
Certification Date
Oct 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SPENCER LAKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherLNI-DINWWA0391228
otherLNI-TRA KING COUNTYWA0391226
otherLNI-TRA REST OF WAWA0391224
otherLNI-UAOMWA0391227
medicaidWA2101564
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 WA MD60852353

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
209 MARTIN LUTHER KING JR WAY,
TACOMA, WA 77025-1669

Additional Information

Education
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SPENCER LAKE is affiliated with the following medical group(s):
  • HOSPITAL
    • HIGHLINE MEDICAL CENTER
      16251 SYLVESTER ROAD SW
      BURIEN, WA 98166
    • MULTICARE GOOD SAMARITAN HOSPITAL
      401 15TH AVENUE SE
      PUYALLUP, WA 98372
    • ST ANTHONY HOSPITAL
      11567 CANTERWOOD BOULEVARD NW
      GIG HARBOR, WA 98332
    • ST JOSEPH MEDICAL CENTER
      1717 SOUTH J STREET
      TACOMA, WA 98405
    • TACOMA GENERAL ALLENMORE HOSPITAL
      315 S MLK JR WAY
      TACOMA, WA 98405

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.