LAKE SPINE CONSULTANTS LLC (NPI# 1982158176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982158176 |
Entity Type | Organization |
Organization Name | LAKE SPINE CONSULTANTS LLC |
Practice Address |
353 New Shackle Island Rd Suite 141c Hendersonville TN 37075-2379 |
Mailing Address |
Po Box 674074 Dallas TX 75267-4074 |
Practice Telephone | 2143784656 |
Mailing Telephone | 2143784656 |
Enumeration Date | 2016-08-05 |
Last Update Date | 2016-08-05 |
Authorized Official Name | HOLLIE SEAGO (RCM) |
Authorized Official Telephone | 2143784656 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
43046 | TN | Allopathic & Osteopathic Physicians |
Street Address |
353 NEW SHACKLE ISLAND RD SUITE 141C |
City | HENDERSONVILLE |
State | TN |
Zip Code | 37075-2379 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275536468 | Muhammad Asad | Internal Medicine | 353 New Shackle Island Rd, Suite 300 C, Hendersonville, TN 37075-2379 | 2005-05-23 |
1104442037 | Dustin Cross | Nurse Practitioner | 353 New Shackle Island Rd, Hendersonville, TN 37075-2379 | 2020-06-16 |
1225563307 | Clayton Thomas Anderson | Nurse Practitioner | 353 New Shackle Island Rd, Suite #300c, Hendersonville, TN 37075-2379 | 2017-04-26 |
1578003109 | Laura Rhea Smith | Physical Therapist | 353 New Shackle Island Rd, 142c, Hendersonville, TN 37075-2379 | 2017-03-01 |
1609319136 | Kara Earthman | Nurse Practitioner | 353 New Shackle Island Rd, Suite 221b, Hendersonville, TN 37075-2379 | 2016-12-01 |
1194272930 | Emily C Fitzpatrick | Nurse Practitioner | 353 New Shackle Island Rd, Suite 122b, Hendersonville, TN 37075-2379 | 2016-09-09 |
1336692904 | Enjoli Gupton | Nurse Practitioner | 353 New Shackle Island Rd, 300c, Hendersonville, TN 37075-2379 | 2016-07-29 |
1821442963 | Kaci Goodgame | Nutritionist | 353 New Shackle Island Rd, Suite 122 B, Hendersonville, TN 37075-2379 | 2016-04-14 |
1659730117 | Kelly Victoria Tyus | Audiologist | 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 | 2016-02-12 |
1083002570 | Andrew Porter | Physician Assistant | 353 New Shackle Island Rd, Suite 300c, Hendersonville, TN 37075-2379 | 2015-01-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
Find all providers in zip 37075 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881256048 | Comprehensive Spine Institute | Orthopaedic Surgery | 1206 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-4143 | 2019-07-08 |
1770091654 | Coordinated Health Network of Tennessee, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550a, Nashville, TN 37238-3000 | 2018-01-13 |
1497263370 | Optimal Health of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2018-01-13 |
1124536008 | Spine Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300a, Memphis, TN 38120-4032 | 2018-01-13 |
1851809735 | Joint Replacement Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300b, Memphis, TN 38120-4032 | 2018-01-13 |
1518233501 | Eric L Emanski | Orthopaedic Surgery | 1736 Gunbarrel Road, Chattanooga, TN 37421-2268 | 2012-03-24 |
1821046459 | James M Fish | Orthopaedic Surgery | 300 Stonecrest Blvd Ste 230, Smyrna, TN 37167-6800 | 2006-05-05 |
1366417396 | James M Osborn | Orthopaedic Surgery | 102 Dunhill Pl Nw, Suite A, Cleveland, TN 37311-3885 | 2006-02-22 |
1619942091 | Richard G Pearce | Orthopaedic Surgery | 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2006-02-21 |
1386631976 | Patrick M Curlee Sr. | Orthopaedic Surgery | 3087 Professional Plz, Germantown, TN 38138-7912 | 2005-09-29 |
Find all providers with the same taxonomy |
City | HENDERSONVILLE |
Zip Code | 37075 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.