Organization Active NPI

Sheldon Ross, D.PM., P.a.

  • Foot & Ankle Surgery Podiatrist
  • Sunrise, FL
National Provider Identifier
1891970240
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1131 Issued in FL
Legal business name
SHELDON ROSS, D.PM., P.A.
Practice address
10109 W Oakland Park Blvd
Sunrise, FL 33351-6917
Phone
(954) 748-9444
Fax
(954) 749-8712
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Dr. Sheldon Ross, DPMNPI 1932200326
Title
President
Phone
(954) 748-9444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO1131 FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X P01131 FL

Addresses

Primary practice location

10109 W Oakland Park Blvd
Sunrise, FL 33351-6917

Mailing address

10109 W Oakland Park Blvd
Sunrise, FL 33351-6917
Phone (954) 748-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000763 FL Part B Supplier - Clinic/Group Practice 4981725769 Receives reassigned benefits from 1 practitioner
Practice locations: Sunrise, FL

National Provider Directory

National Provider Directory

Locations

10109 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 733-1220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1891970240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516917",
            "telephone_number": "954-748-9444",
            "fax_number": "954-749-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516917",
            "telephone_number": "954-748-9444",
            "fax_number": "954-749-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON ROSS, D.PM., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-748-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1131",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "P01131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.