Active NPI
Shirley Mae Catoire Visser, DPM
- Foot & Ankle Surgery Podiatrist
- Creve Coeur, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2012026027
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07001117A | Other | IN | PODIATRIST LICENSE |
| 2012026027 | Other | MO | PODIATRY LICENSE |
Other names 1
- Dr. Shirley Mae Catoire
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
Enrollment records 1
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
- SSM St Joseph Health Center
- Mercy Hospital Washington
- SSM Health Depaul Hospital St Louis
- SSM St Clare Health Center
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Promoting interoperability
- 79
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 98 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 650 |
| Removal or shaving of skin growth | 232 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001117AMEMBER | IN | MD | Podiatrist |
| 07001117A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinia Healthcare | Current | Accepting new patients | |
| Next Step Foot & Ankle Centers, Inc | Podiatrist | Current | Accepting new patients |
| Next Step Foot and Ankle Centers, Inc | Podiatrist | Current | Accepting new patients |
| Affinia Healthcare | Current | 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
- svisser67765@direct-ehr-ssmhc.com
- 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.
-
- Podiatrist
- Saint Louis, MO
- NPI 1518938919
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1902816077
-
dba Affinia Healthcare Ferguson
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1740067719
-
- Podiatrist
- O'Fallon, IL
- NPI 1356178610
-
dba MO Foot and Ankle
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
- NPI 1174595409
-
dba DePaul Medical Group at Cross Keys
- Family Medicine Physician
- Florissant, MO
- NPI 1952312951
Podiatrist
-
- Foot & Ankle Surgery Podiatrist
- Jasper, IN
- NPI 1942492814
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
dba SSM Health St. Joseph Hospital - St. Charles
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
dba SSM Health DePaul Hospital - St. Louis
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
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
- Vios Fertility Institute St. Louis, LLC
- Brooke Renea Viox
- Visionworks Inc. (Visionworks)
- Harry John Visser, DPM
- Jared Visser, DPM
- Vobis Sanus LLC (BrightStar of West St. Louis County and St. Charles)
- Mercedes Vomund
- Craig Michael Voorhees, PHD
- Katryna Marie Vossmeyer, DMD
- Michael George Vranich, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.