SHORE HEALTH SYSTEM SLEEP CENTER (NPI# 1053685057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053685057 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SYSTEM SLEEP CENTER |
| Practice Address |
125 Shoreway Dr Queenstown MD 21658-1680 |
| Mailing Address |
219 S. Washington Street Easton MD 21601-2913 |
| Practice Telephone | 4108221000 |
| Practice Fax Number | 4108224958 |
| Mailing Telephone | 4108221000 |
| Mailing Fax Number | 4108224958 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-04-09 |
| Authorized Official Name | MR. SAMUEL L HARRIS (DIRECTOR, REVENUE CYCLE OPERATIONS) |
| Authorized Official Telephone | 4108221000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
125 SHOREWAY DR |
| City | QUEENSTOWN |
| State | MD |
| Zip Code | 21658-1680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618755 | Elizabeth Louise Schilling | Nurse Practitioner | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1680 | 2005-06-09 |
| 1417433285 | Jean Elizabeth Jauregui | Nurse Practitioner | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2018-07-16 |
| 1225554603 | Mary Schmitt King | Dietitian, Registered | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2017-08-17 |
| 1801242227 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2016-05-05 |
| 1205290541 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2016-04-13 |
| 1174942635 | University of Maryland Shore Surgery Center At Queenstown, LLC | Clinic/Center | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2014-04-14 |
| 1871844803 | Delmarva Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2012-10-01 |
| 1699025072 | Delmarva Orthopaedic Clinic, P.a. | Physical Medicine & Rehabilitation | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2012-09-13 |
| 1518959261 | Clare A. Ross | Nurse Practitioner | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1666 | 2005-08-18 |
| 1336140748 | Daniel Jay Konick | Internal Medicine | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1666 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306916 | Andrea Lynn Shafer | Nurse Practitioner | Maryland Primary Care Physicians 125 Shoreway Dr, Ste 120, Queenstown, MD 21658 | 2019-06-25 |
| 1710206321 | Daniel Lamphier | Family Medicine | 125 Shoreway Dr Ste 120, Queenstown, MD 21658 | 2010-05-21 |
| 1881757052 | Queenstown Volunteer Fire Company | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2006-12-19 |
| 1457459216 | Kathleen Stephanie Van Fossen | Social Worker | 206 Del Rhodes, Ste 203, Queenstown, MD 21658 | 2006-09-20 |
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| 1730440165 | Bethany Lynn Berger | Nurse Practitioner | 125 Shoreway Drive, Suite 120, Queenstown, MD 21658 | 2012-06-01 |
| 1265579353 | Queenstown Volunteer Fire | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2007-01-30 |
| 1619075496 | Sallie Miller | Social Worker | 206 Del Rhodes, Suite 203, Queenstown, MD 21658 | 2006-09-20 |
| 1568581957 | Nicole Williams | Speech-Language Pathologist | 6923 Main St, Queenstown, MD 21658-1219 | 2007-03-28 |
| 1437123999 | Justin Scott Marlett | Specialist | 223 Melvin Ave, Queenstown, MD 21658-1237 | 2006-02-13 |
| Find all providers in zip 21658 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346023 | Metro Star Sleep Care Center LLC | Clinic/Center | 10903 Indian Head Hwy Ste 101, Fort Washington, MD 20744-4009 | 2020-05-01 |
| 1457992604 | Sleepmed, Inc. | Clinic/Center | 801 Cromwell Park Dr Ste 108, Glen Burnie, MD 21061-2539 | 2019-09-30 |
| 1346742350 | Sleepmed, Inc. | Clinic/Center | 1003 W 7th St Ste 506, Frederick, MD 21701-8512 | 2018-03-06 |
| 1881196806 | Sleepmed, Inc. | Clinic/Center | 17001 Science Dr Ste 109, Bowie, MD 20715-4336 | 2018-03-06 |
| 1053813071 | Sleepmed, Inc. | Clinic/Center | 20528 Boland Farm Rd Ste 204, Germantown, MD 20876-4038 | 2018-03-06 |
| 1528560547 | Sleepmed, Inc. | Clinic/Center | 7500 Greenway Center Dr Ste B-001, Greenbelt, MD 20770-3502 | 2018-03-06 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| 1679011357 | Chester River Hospital Center | Clinic/Center | 126 Philosophers Ter, Chestertown, MD 21620-1612 | 2017-02-02 |
| 1295128692 | Sensible Sleep Services LLC | Clinic/Center | 265 Wakely Ter, Bel Air, MD 21014-5441 | 2015-03-09 |
| 1851659494 | Digitrace Care Services, Inc | Clinic/Center | 9610 Deereco Rd, Timonium, MD 21093-2120 | 2012-05-02 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSTOWN |
| Zip Code | 21658 |
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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.