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DR. LANCE IVAN CHODOSH M.D. NPI 1174593933


NPI Information

NPI: 1174593933
Provider Name: DR. LANCE IVAN CHODOSH, M.D.
Classification: Preventive Medicine - 2083X0100X
Entity Type: Individual

Specialization: Occupational Medicine

PECOS Registration: Yes

CLIA Number: 10D0271920

Address:
4340 W NEWBERRY RD
#201
GAINESVILLE, FL
ZIP 32607
Phone: (352) 372-3360
Get Directions

DR. Lance Ivan Chodosh, M.D. is an occupational medicine preventive medicine in Gainesville, FL. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. DR. Lance Ivan Chodosh, M.D. NPI is 1174593933. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4340 W NEWBERRY RD
#201
GAINESVILLE, FL
ZIP 32607-586
Phone: (352) 372-3360
Fax: (352) 372-3776

The NPI 1174593933 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D0271920 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083X0100XPreventive MedicineOccupational MedicineME0021240FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D58395MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.