Organization Active NPI

Lance C. Dozier

  • Surgery Physician
  • Norton, VA
National Provider Identifier
1629131503
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101035554 Issued in VA
Legal business name
LANCE C. DOZIER
Practice address
338 Coeburn Ave SW
Norton, VA 24273-2606
Phone
(276) 679-0800
Fax
(276) 679-1261
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Lance Cary Dozier, M.D.NPI 1902891260
Title
Owner
Phone
(276) 679-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 0101035554 VA Primary

Addresses

Primary practice location

338 Coeburn Ave SW
Norton, VA 24273-2606

Mailing address

PO Box 1205
Norton, VA 24273-0912
Phone (276) 679-0800

Other identifiers 3

IdentifierTypeStateIssuer
010160456MedicaidVA
176979OtherVAANTHEM BCBS
64230584OtherKYKY MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050428001092 VA Part B Supplier - Clinic/Group Practice 1658310669 Receives reassigned benefits from 1 practitioner
Practice locations: Big Stone Gap, VA

National Provider Directory

National Provider Directory

Locations

21 E 5th St N
Big Stone Gap, VA 24219
Phone (276) 524-1292

1980 Holton Ave E
#103A
Big Stone Gap, VA 24219
Phone (276) 523-8861

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1629131503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242730912",
            "telephone_number": "276-679-0800",
            "fax_number": "276-679-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 COEBURN AVE SW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242732606",
            "telephone_number": "276-679-0800",
            "fax_number": "276-679-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE C. DOZIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "DOZIER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "CARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-679-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101035554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010160456",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "176979",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "64230584",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.