LAKE SPINE CONSULTANTS LLC


Address: 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379
Phone: 2143784656

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 353 NEW SHACKLE ISLAND RD
SUITE 141C
City HENDERSONVILLE
State TN
Zip Code 37075-2379

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City HENDERSONVILLE
Zip Code 37075

Improve Information

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Dataset Information

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.

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