Individual provider Active NPI

Shaun Jason Limon, DPM

  • Podiatrist
  • Lakewood Ranch, FL
National Provider Identifier
1164497491
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2722 Issued in FL
Practice address
11065 Gatewood Dr # C-102
Lakewood Ranch, FL 34211-4944
Phone
(941) 782-8639
Fax
(941) 751-0976
NPI assigned
Feb 21, 2006
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2722 FL Primary

Addresses

Primary practice location

11065 Gatewood Dr # C-102
Lakewood Ranch, FL 34211-4944

Mailing address

11065 Gatewood Dr Ste C-102
Lakewood Ranch, FL 34211-4944
Phone (941) 756-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2722FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Limons Foot & Ankle Care Inc CurrentSince Jul 1, 2022 Accepting new patients
Jemaar Graham DPM PA PastSince Jul 16, 2023 Accepting new patients

Locations

4614 26th St W
Bradenton, FL 34207
Phone (941) 756-6906

11065 Gatewood Dr
Ste 102
Lakewood Rch, FL 34211
Phone (941) 782-8639

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1164497491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11065 GATEWOOD DR STE C-102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114944",
            "telephone_number": "941-756-6906",
            "fax_number": "941-751-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 GATEWOOD DR # C-102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114944",
            "telephone_number": "941-782-8639",
            "fax_number": "941-751-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMON",
        "first_name": "SHAUN",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.