Physician Compare National (NPI:1689751901)

HEALTHCARE PROVIDER: JOHN FREDERICK NORRIS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689751901
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173546272
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081230000562
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NORRIS
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	FREDERICK
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIAC ELECTROPHYSIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIAC ELECTROPHYSIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	516 LAKEVIEW RD
	Group Practice or individual's line 1 address
City	CLEARWATER
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	337563302
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100248
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LARGO MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100127
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MORTON PLANT HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y