Individual provider Active NPI

Shirley Mae Catoire Visser, DPM

  • Foot & Ankle Surgery Podiatrist
  • Creve Coeur, MO
National Provider Identifier
1366697906
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2012026027 Issued in MO
Practice address
11709 Old Ballas Rd
Suite 201
Creve Coeur, MO 63141-7029
Phone
(314) 432-1903
Fax
(314) 432-5015
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07001117AMEMBER IN
Foot & Ankle Surgery Podiatrist 213ES0103X 07001117A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 2012026027 MO Primary

Addresses

Primary practice location

11709 Old Ballas Rd
Suite 201
Creve Coeur, MO 63141-7029

Mailing address

11709 Old Ballas Rd
Suite 201
Creve Coeur, MO 63141-7029
Phone (314) 432-1903

Other identifiers 2

IdentifierTypeStateIssuer
07001117AOtherINPODIATRIST LICENSE
2012026027OtherMOPODIATRY LICENSE

Other names 1

  • Dr. Shirley Mae Catoire Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000276 MO Practitioner - Podiatry 8921278672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11709 Old Ballas Rd
Suite 201
Creve Coeur, MO 63141-7029
Phone (314) 432-1903

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Promoting interoperability
79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue98
Removal of skin lesions1-10
Removal of nail tissue650
Removal or shaving of skin growth232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001117AMEMBERINMDPodiatrist
07001117AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinia Healthcare CurrentSince Apr 29, 2014 Accepting new patients
Next Step Foot & Ankle Centers, Inc Podiatrist CurrentSince Mar 1, 2023 Accepting new patients
Next Step Foot and Ankle Centers, Inc Podiatrist CurrentSince Mar 1, 2023 Accepting new patients
Affinia Healthcare CurrentSince Apr 29, 2014 Accepting new patients
Center for Advanced Foot & Ankle Surgery Inc Foot & Ankle Surgery Past Accepting new patients
Hoosier Foot and Ankle LLC Podiatrist Past Accepting new patients
Major Hospital Past Accepting new patients
SSM Depaul Medical Group, Inc. Podiatrist Past Accepting new patients

Locations

500 W Pine St
Farmington, MO 63640
Phone (573) 701-9249

141 E Madison Ave
Ste 100
Kirkwood, MO 63122
Phone (314) 821-8855

1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515

5139 Mattis Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 396-9517

3915 Watson Rd
Ste 101
Saint Louis, MO 63109
Phone (314) 352-2711

11709 Old Ballas Rd
Ste 201
Saint Louis, MO 63141
Phone (314) 432-1903

5401 Veterans Memorial Pkwy
Ste 102
Saint Peters, MO 63376
Phone (636) 442-1541

851 E 5th St
Ste 320
Washington, MO 63090
Phone (636) 239-1633

1351 Jefferson St
Ste 204
Washington, MO 63090
Phone (314) 821-8644

1776 Crosswinds Dr
Wentzville, MO 63385
Phone (314) 735-5197

Interoperability endpoints

  • Direct secure messaging: svisser67765@direct-ehr-ssmhc.com
  • Direct secure messaging: svisser@usfas.emadirect.md

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1366697906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-1903",
            "fax_number": "314-432-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD",
            "address_2": "SUITE 201",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-432-1903",
            "fax_number": "314-432-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "SHIRLEY",
        "middle_name": "MAE CATOIRE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001117AMEMBER",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001117A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2012026027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIST LICENSE",
            "identifier": "07001117A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LICENSE",
            "identifier": "2012026027",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "CATOIRE",
            "middle_name": "MAE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.