Individual provider Active NPI

John William Norris III, MD

  • Internal Medicine Physician
  • Key West, FL
National Provider Identifier
1619935129
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91477 Issued in FL
Practice address
508 Southard St
Suite 103
Key West, FL 33040-6989
Phone
(305) 296-1022
Fax
(305) 296-5828
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME91477 FL Primary

Addresses

Primary practice location

508 Southard St
Suite 103
Key West, FL 33040-6989

Mailing address

508 Southard St
Suite 103
Key West, FL 33040-6989
Phone (305) 296-1022

Other identifiers 1

IdentifierTypeStateIssuer
271591100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000375 FL Practitioner - Internal Medicine 6709823875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1010 Kennedy Dr
Suite 402
Key West, FL 33040-4134
Phone (305) 587-1964

Hospital & facility affiliations

  • Island Home Care Home health agency, Key West, FL, CCN 109772
  • Goldencare Home Health Agency Inc Home health agency, Miami, FL, CCN 107697
  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norris Healthcare Concierge, LLC Internal Medicine CurrentSince Nov 2, 2022 Accepting new patients

Locations

1010 Kennedy Dr
Ste 402
Key West, FL 33040
Phone (305) 587-1964

Interoperability endpoints

  • Direct secure messaging: john.norris.1@27763.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1619935129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SOUTHARD ST",
            "address_2": "SUITE 103",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330406989",
            "telephone_number": "305-296-1022",
            "fax_number": "305-296-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SOUTHARD ST",
            "address_2": "SUITE 103",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330406989",
            "telephone_number": "305-296-1022",
            "fax_number": "305-296-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271591100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.