Active NPI
Shawn Raymond Norris, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3549
- Practice address
- 1601 Clint Moore Rd
Ste. 130
Boca Raton, FL 33487-2768 - Phone
- (561) 939-0974
- NPI assigned
- Sep 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3549 | FL | Primary |
Addresses
Primary practice location
1601 Clint Moore Rd
Ste. 130
Boca Raton, FL 33487-2768
Mailing address
1601 Clint Moore Rd
Ste. 130
Boca Raton, FL 33487-2768
Phone (561) 939-0974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005576100 | Medicaid | FL |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
21679 State Rd
Suite 7
Boca Raton, FL 33428-1812
Phone (561) 482-3338
4879 Coconut Creek Pkwy
Coconut Creek, FL 33063-3944
Phone (954) 979-0505
7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
| Removal of skin lesions | 49 |
| Removal of nail tissue | 288 |
| Removal or shaving of skin growth | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3549 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Certified Foot & Ankle Specialists | Foot & Ankle Surgery | Current | Accepting new patients |
| Norris & Dabul Foot & Ankle, PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Certified Foot & Ankle Specialists | Foot & Ankle Surgery | Current | Accepting new patients |
| Norris & Dabul Foot & Ankle, PA | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
1601 Clint Moore Rd
Ste 130
Boca Raton, FL 33487
Phone (561) 251-9099
1601 Clint Moore Rd
Ste 180
Boca Raton, FL 33487
Phone (561) 939-0600
21679 State Road 7
Boca Raton, FL 33428
Phone (561) 482-3338
7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199
4879 Coconut Creek Pkwy
Coconut Creek, FL 33063
Phone (954) 895-1222
817 Coral Ridge Dr
Coral Springs, FL 33071
Phone (954) 753-3030
7620 Margate Blvd
Margate, FL 33063
Phone (954) 482-3338
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
dba Multi Specialty Physician Services
- Non-Pharmacy Dispensing Site
- Boca Raton, FL
- NPI 1699904169
Foot & Ankle Surgery
-
dba Associated Foot & Ankle Care
- Foot & Ankle Surgery Podiatrist
- Boca Raton, FL
- NPI 1235696998
-
dba Multi-Specialty Physician Services
- Non-Pharmacy Dispensing Site
- Jupiter, FL
- NPI 1083269955
Foot & Ankle Surgery
-
dba Associated Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Margate, FL
- NPI 1205494317
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Northwest Hospital
- General Acute Care Hospital
- Margate, FL
- NPI 1063466563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1770816860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD",
"address_2": "STE. 130",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768",
"telephone_number": "561-939-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD",
"address_2": "STE. 130",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768",
"telephone_number": "561-939-0974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "SHAWN",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-08",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005576100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Anna Norman
- Rachael Nicole Norman, FNP-C
- Norman's Nursing Home Care Services
- Norris & Dabul Foot & Ankle, PA (Associated Foot & Ankle Care)
- Charles Richard Norris Jr., MD
- North Ridge Heart Associates PA
- North Star Centre LLC
- North Star Home Health Agency, LLC
- Carolyn North, LCSW
- Northland Hearing Centers, Inc. (HearFlorida)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.