Allison Marie Lake Koepke, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD89413 Issued in SC

Practice address

167 Bluffton Rd Ste G
Bluffton, SC 29910-6228

Phone

(843) 757-8663

Fax

(843) 815-3849

NPI assigned

May 7, 2007

Last updated

May 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Allison Marie Lake Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seaside Pediatrics of Bluffton, PC

  • Pediatrics Physician
  • Bluffton, SC
  • NPI 1154480366
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1184836447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 BLUFFTON RD STE G",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106228",
            "telephone_number": "843-757-8663",
            "fax_number": "843-815-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 BLUFFTON RD STE G",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106228",
            "telephone_number": "843-757-8663",
            "fax_number": "843-815-3849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Hospital Center Cmns Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299262852",
            "country_code": "US",
            "telephone_number": "843-757-8663",
            "fax_number": "843-682-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "ALLISON",
        "middle_name": "MARIE LAKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "MD89413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200864200",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "LAKE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meghan Klunk, DPT
• Susan E Knapp, LISW-CP
• Marva Knight
• Thomas E Knight Jr., M.D.
• Laura C Knobel, MD
• Alexandra Kolat, PHARMD
• Thomas Ambrose Koll, DC
• Cynthia Kostov, LMT
• Jillian Mary Koves
• Stephen Mark Krehbiel

• Pediatrics Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.