DR. REBECCA C SHORE (NPI# 1053396143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053396143 |
| Entity Type | Individual |
| Full Name | DR. REBECCA C SHORE |
| Credential | M.D. |
| Practice Address |
21 Village Sq Chelmsford MA 01824-2712 |
| Practice Telephone | 9789953292 |
| Practice Fax Number | 9786777339 |
| Mailing Telephone | 9789953292 |
| Mailing Fax Number | 9786777339 |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2016-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 210438 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2040735 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447545322 | Rebecca L Shore | Social Worker | 2450 Riverside Ave Ste 2a-west, Minneapolis, MN 55454-1450 | 2011-06-18 |
| 1457528846 | Rebecca Marie Shore | Occupational Therapist | 225 Chapman St, Providence, RI 02905-4533 | 2008-05-14 |
| Street Address |
21 VILLAGE SQ |
| City | CHELMSFORD |
| State | MA |
| Zip Code | 01824-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831563 | Roy R Shen | Surgery | 21 Village Sq, Chelmsford, MA 01824-2712 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
| 1447805015 | Owl Pediatric Therapy LLC | Speech-Language Pathologist | 360 Littleton Road, #g6, Chelmsford, MA 01824 | 2019-08-09 |
| 1083277420 | Praisey Joseph | Nurse Practitioner | Massachusetts Ent Associates, Inc, 3 Meeting House Rd Suite 24, Chelmsford, MA 01824 | 2019-04-22 |
| 1013434513 | Sherry Ranjbar | Counselor | 13 Horseshoe Rd, Chelmsford, MA 01824 | 2017-08-24 |
| 1942666250 | Alyssa Paton | Nurse Practitioner | 4 Meeting House Rd Ste 1, Chelmsford, MA 01824 | 2016-01-04 |
| 1144696675 | Serene Williams-kasili | Nurse Practitioner | 35 Village Square, Chelmsford, MA 01824 | 2015-08-19 |
| 1437536901 | Chelmsford Family Dentists PC | Dentist | 18 Boston Road, Suite 400, Chelmford, MA 01824 | 2015-05-04 |
| 1508284084 | Caitlin Polistena | Surgery | 21 Village Sqaure, Chelmsford, MA 01824 | 2014-04-02 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
| 1700127925 | Safetynet Community Dental Health Center | Clinic/Center | 3 Courhouse Lane, Chelmsford, MA 01824 | 2013-03-13 |
| Find all providers in zip 01824 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508284084 | Caitlin Polistena | Surgery | 21 Village Sqaure, Chelmsford, MA 01824 | 2014-04-02 |
| 1396715934 | Abdul Ghaffar | Surgery | 35b Village Sq, Chelmsford, MA 01824-2712 | 2006-01-25 |
| 1669846259 | Precision Surgical Specialists of Lowell PC | Surgery | 21 Village Square, Chelmsford, MA 01824 | 2015-11-19 |
| 1619957628 | Janaki Varadhan | Surgery | 4 Meeting House Rd, Suite 4, Chelmsford, MA 01824 | 2006-01-18 |
| 1407831563 | Roy R Shen | Surgery | 21 Village Sq, Chelmsford, MA 01824-2712 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776123 | Dalton Medical Group LLC | Surgery | 352 Main St Unit 6, Falmouth, MA 02540-3175 | 2020-10-07 |
| 1689281610 | Cornell Medical LLC | Surgery | 200 Unicorn Park Dr Ste 302, Woburn, MA 01801-3342 | 2020-09-24 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1427546365 | New England Hernia Center LLC | Surgery | 20 Research Pl Ste 130, North Chelmsford, MA 01863-2455 | 2018-04-26 |
| 1255869731 | Yurie Sekigami | Surgery | 800 Washington St, Box 437, Boston, MA 02111-1552 | 2017-05-30 |
| 1194263046 | Wound Care Specialists | Surgery | 785 Williams St # 172, Longmeadow, MA 01106-2063 | 2017-02-10 |
| 1932550670 | Asish C Misra | Surgery | 110 Francis St, Suite 9b, Beth Israel Deaconess - Surgical Education, Boston, MA 02215 | 2016-06-23 |
| 1306295225 | Michael Hong Jr. | Surgery | 100 Jersey St Apt 601, Boston, MA 02215-4806 | 2016-06-10 |
| 1043666548 | North Suburban Surgical Associates | Surgery | 191 Clifton St, Belmont, MA 02478-2603 | 2016-05-13 |
| 1295110971 | Benjamin Grajales Mdpc | Surgery | 50 Memorial Dr Ste 204, Leominster, MA 01453-2238 | 2015-07-23 |
| Find all providers with the same taxonomy | ||||
| City | CHELMSFORD |
| Zip Code | 01824 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.