Leena Lake (NPI# 1285861492, PAC ID# 1850614850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1285861492 |
| PAC ID by PECOS | 1850614850 |
| Professional Enrollment ID | I20141224000251 |
| Full Name | Leena Lake |
| Organization Legal Name | SPECIALTY SPINE AND PAIN, PC. |
| Address |
1250 Jesse Jewell Sepkwy Suite 200 Gainesville GA 30501-3865 |
| Phone Number | 7705347200 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2009 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 9931151032 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 2695 Old Winder Hwy 150, Braselton, GA 30517-6076 | 7705347200 | SPECIALTY SPINE AND PAIN, PC. |
| 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 | 7705347200 | SPECIALTY SPINE AND PAIN, PC. |
| Organization Legal Name | SPECIALTY SPINE AND PAIN, PC. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Scott Engel | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Steve R Crider Jr. | Anesthesiology | Specialty Spine and Pain, PC. | 1240 Jesse Jewell Pkwy, Suite 300, Gainesville, GA 30501-3861 |
| Molly Bruce | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| April Bussoletti | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Becky Adams Caverzasi | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Kasey Bolton | Family Medicine | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Howard K Robinson | Interventional Pain Management | Specialty Spine and Pain, PC. | 1240 Jesse Jewell Pkwy, Suite 300, Gainesville, GA 30501-3861 |
| Brian David Adams | Pain Management | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Sara Routzahn | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Olga Fingerman | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Street Address |
1250 JESSE JEWELL SEPKWY SUITE 200 |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-3865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Scott Engel | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Molly Bruce | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| April Bussoletti | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Becky Adams Caverzasi | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Kasey Bolton | Family Medicine | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Brian David Adams | Pain Management | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Sara Routzahn | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Olga Fingerman | Nurse Practitioner | Specialty Spine and Pain, PC. | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Ayham Y Haddad | Internal Medicine | S.y.a.h. | 1250 Jesse Jewell Sepkwy, Suite 300, Gainesville, GA 30501-3865 |
| Nazanin Jafarian | Anesthesiology | Specialty Clinics Spine Intervention, PC | 1250 Jesse Jewell Sepkwy, Suite 200, Gainesville, GA 30501-3865 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | GAINESVILLE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Leena Lake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.