Individual provider Active NPI

Lance M Cohen

  • Specialist
  • Clearwater, FL
National Provider Identifier
1053461152
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME57724 Issued in FL
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

Updated by the provider on Sep 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
006282600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000988 FL Practitioner - Otolaryngology 9537129796 Reassigns benefits to 1 organization

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
West Coast Ear, Nose and Throat, IncGroup PAC ID 0941260103, 23 clinicians

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 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME57724FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Ear, Nose & Throat Inc CurrentSince Jan 1, 1996 Accepting new patients
Audiology Distribution, LLC PastSince Jan 1, 1996 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

  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.