Individual provider Active NPI

Norman Shaw, MD

  • Anesthesiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1770548752
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME80469 Issued in FL
Practice address
3601 W Commercial Blvd
Anesco North Broward LLC, Ste 5
Fort Lauderdale, FL 33309-3300
Phone
(954) 485-5666
Fax
(954) 484-1651
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME80469 FL Primary

Addresses

Primary practice location

3601 W Commercial Blvd
Anesco North Broward LLC, Ste 5
Fort Lauderdale, FL 33309-3300

Mailing address

3601 W Commercial Blvd
Anesco North Broward LLC, Ste 5
Fort Lauderdale, FL 33309-3300
Phone (954) 485-5666

Other identifiers 1

IdentifierTypeStateIssuer
258575800MedicaidFL

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
I20100722000820 FL Practitioner - Anesthesiology 0345372561 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80469FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesco North Broward LLC Anesthesiology CurrentSince Aug 1, 2000 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince May 17, 2025 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc Anesthesiology CurrentSince May 17, 2025 Accepting new patients
Anesco Central LLC Anesthesiology Past Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1770548752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "ANESCO NORTH BROWARD LLC, STE 5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "ANESCO NORTH BROWARD LLC, STE 5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME80469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258575800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.