Shannon Floyd DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3406 Issued in FL

Legal business name

SHANNON FLOYD DPM PA

Practice address

11834 County Road 101
Suite 203
Lady Lake, FL 32162-9340

Phone

(352) 633-8230

Fax

(352) 633-8232

NPI assigned

Feb 25, 2010

Organization subpart

No

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

Authorized official

Name

Shannon Floyd, DPMNPI 1235463001

Title

President

Phone

(917) 207-3328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Shannon Floyd, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lady Lake, FL
  • NPI 1235463001
  Medicare reassignment Care Compare group NPD Authorized official
• Samuel A Mason, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lady Lake, FL
  • NPI 1801424288
  Medicare reassignment Care Compare group NPD
• Blanca T. Diaz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Orlando, FL
  • NPI 1548498702
  Medicare reassignment NPD
• Kristin Nixon, HAS, BC-HIS

  • Hearing Instrument Specialist
  • The Villages, FL
  • NPI 1932573888
  NPD (past)

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1174845622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW 46TH CT APT 2108",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746287",
            "telephone_number": "917-207-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11834 COUNTY ROAD 101",
            "address_2": "SUITE 203",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321629340",
            "telephone_number": "352-633-8230",
            "fax_number": "352-633-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON FLOYD DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-207-3328",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael J. Sforzini, MD
• Janmejay Shaktawat, M.D.
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• Kayla Marcia Sheffield, PHARMD, RPH
• Brian Shin, DDS
• Pablo J Sierra-Duque, DMD
• Shane E Sikes, DC

• Foot & Ankle Surgery Podiatrist in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.