Charles Scott Norris, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

2002028981 Issued in MO

Practice address

54 Hospital Dr
Suite 225
Osage Beach, MO 65065-3050

Phone

(573) 302-2762

Fax

(573) 302-2268

NPI assigned

Nov 16, 2005

Last updated

Jul 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cardiovascular and Thoracic Surgeons of the South, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Covington, LA
  • NPI 1215070503
  NPD (past)
• Shondra L Smith, MD Dermatology & Advanced Aesthetics, LLC

  dba Dermatology and Advanced Aesthetics, LLC

  • Dermatology Physician
  • Lake Charles, LA
  • NPI 1447248166
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1811979859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650651500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "address_2": "SUITE 225",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-302-2762",
            "fax_number": "573-302-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "CHARLES",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2002028981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207459603",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00271458",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Rene Nickels, PA-C
• Rylee Matthew Niekamp
• Robert C Nielsen, DO
• Shelby Noel
• Earl Davis Nolan, PHYSICAL THERAPIST
• Meghan O'Rourke, LMSW
• Amaka Obi, PMHNP-BC
• Lucas Oborny, PHARMD
• Occupational Therapy Solutions, LLC
• Oluwakunle Olalekan Oluwatosin, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.