Active NPI
Lance M Cohen
- Specialist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME57724
- Practice address
- 1330 S Fort Harrison Ave
Clearwater, FL 33756-3313 - Phone
- (727) 441-3588
- Fax
- (727) 461-1038
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | ME57724 | FL | Primary |
Addresses
Primary practice location
1330 S Fort Harrison Ave
Clearwater, FL 33756-3313
Mailing address
1330 S Fort Harrison Ave
Clearwater, FL 33756-3313
Phone (727) 441-3588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006282600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- New York University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1330 S Ft Harrison
Clearwater, FL 33756-3313
Phone (727) 441-3588
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME57724 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Ear, Nose & Throat Inc | Current | Accepting new patients | |
| Audiology Distribution, LLC | Past | Accepting new patients |
Locations
3190 N McMullen Booth Rd
Ste 100
Clearwater, FL 33761
Phone (727) 424-0971
1330 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 216-0700
646 Virginia St
Fl 3
Dunedin, FL 34698
Phone (727) 441-3588
8787 Bryan Dairy Rd
Ste 170
Seminole, FL 33777
Phone (727) 397-8551
6540 4th St N
Ste C
St Petersburg, FL 33702
Phone (727) 466-7916
11304 State Road 54
Trinity, FL 34655
Phone (727) 247-1234
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1528
Organizations & group practices 2
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.
-
dba Ear, Nose & Throat Associates
- Otolaryngology Physician
- Clearwater, FL
- NPI 1346229440
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
dba Mease Countryside Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
-
dba Mease Dunedin Hospital
- 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": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1053461152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 S FORT HARRISON AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563313",
"telephone_number": "727-441-3588",
"fax_number": "727-461-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 S FORT HARRISON AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563313",
"telephone_number": "727-441-3588",
"fax_number": "727-461-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "LANCE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME57724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006282600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.