Active NPI
Corey Lake
- Anesthesiology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME146259
- Practice address
- 1924 Alcoa Hwy
Box U109
Knoxville, TN 37920-1511 - Phone
- (865) 305-9220
- NPI assigned
- Jun 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME146259 | FL | Primary |
Addresses
Primary practice location
1924 Alcoa Hwy
Box U109
Knoxville, TN 37920-1511
Mailing address
1924 Alcoa Hwy
Box U109
Knoxville, TN 37920-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589
3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526
6901 Simmons Loop
Riverview, FL 33578-9498
Hospital & facility affiliations
- Mease Dunedin Hospital
- Morton Plant Hospital
- Mease Countryside Hospital
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Anesthesiology | Current | Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Anesthesiology | Current | Accepting new patients |
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777
6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
-
- General Acute Care Hospital
- Dunedin, FL
- NPI 1336125640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1669852935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"address_2": "BOX U109",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"address_2": "BOX U109",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKE",
"first_name": "COREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME146259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.