RONALD SHORE (NPI# 1144258757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144258757 |
| Entity Type | Individual |
| Full Name | RONALD SHORE |
| Credential | M.D. |
| Practice Address |
4701 Randolph Rd Suite 201 Rockville MD 20852-2257 |
| Practice Telephone | 4108729188 |
| Mailing Telephone | 4108729188 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D20596 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BCBS MD | 52494004 | 01 |
| DC | CAREFIRST BCBSDC | 6792001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083957740 | Ronald Dean Shore II | Physician Assistant | 8321 W North Ave, Melrose Park, IL 60160-1605 | 2013-04-01 |
| 1649272915 | Ronald Andrew Shore | Anesthesiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2005-06-01 |
| Street Address |
4701 RANDOLPH RD SUITE 201 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245016 | James Robert Christina | Podiatrist | 4701 Randolph Rd, Ste 115, Rockville, MD 20852-2260 | 2005-06-17 |
| 1134676000 | Proflex Physical Therapy of Maryland, LLC | Clinic/Center | 4701 Randolph Rd, 105, Rockville, MD 20852-2257 | 2016-09-08 |
| 1982071171 | Ancy Alford | Physical Therapist | 4701 Randolph Rd, Suite 105, Rockville, MD 20852-2257 | 2015-08-24 |
| 1841688546 | Nicholas Jan | Physical Therapist | 4701 Randolph Rd, Ste 105, Rockville, MD 20852-2260 | 2015-01-03 |
| 1649676503 | Montgomery Oral & Facial Surgery, LLC | Dentist | 4701 Randolph Rd, Suite G-10, Rockville, MD 20852-2257 | 2014-11-05 |
| 1871994806 | Shin Orthodontics | Dentist | 4701 Randolph Rd, Suite 108, Rockville, MD 20852-2257 | 2014-09-09 |
| 1942573860 | Montgomery Oral & Facial Surgery, LLC | Dentist | 4701 Randolph Rd, G10, Rockville, MD 20852-2257 | 2012-02-23 |
| 1730474669 | Back To Basics Chiropractic Center, PC | Chiropractor | 4701 Randolph Rd, Suite G5, Rockville, MD 20852-2259 | 2011-06-20 |
| 1982997946 | Zachary Cohen | Physical Therapist | 4701 Randolph Rd, Suite 105, Rockville, MD 20852-2257 | 2011-05-24 |
| 1467695593 | Montgomery Oral & Facial Surgery | Clinic/Center | 4701 Randolph Rd, Suite G10, Rockville, MD 20852-2257 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508161514 | Caren Sadikman | Dermatology | 121 Congressional Ln Ste 204, Rockville, MD 20852-1542 | 2011-01-21 |
| 1649459322 | Ronald Shore Md Pa | Dermatology | 4701 Randolph Rd Ste 207, Rockville, MD 20852-2261 | 2007-10-30 |
| 1962441527 | John J Digiovanna | Dermatology | 15245 Shady Grove Rd Ste 370, Rockville, MD 20850-6237 | 2006-06-06 |
| 1750352704 | Samuel S Norvell | Dermatology | 9707 Medical Center Dr, Suite 130, Rockville, MD 20850-3348 | 2006-01-29 |
| 1760856413 | Advanced Dermatology of Maryland PC | Dermatology | 2401 Research Blvd Ste 260, Rockville, MD 20850-3261 | 2015-11-18 |
| 1083026694 | Maragh Dermatology II LLC | Dermatology | 14995 Shady Grove Rd, Ste 150, Rockville, MD 20850-8726 | 2014-05-30 |
| 1801185491 | Caroline Eva Yeager | Dermatology | 15245 Shady Grove Rd, Suite 370, Rockville, MD 20850-3222 | 2011-04-04 |
| 1356640338 | Joseph Porres Md PC | Dermatology | 50 W Edmonston Dr, 308, Rockville, MD 20852-1228 | 2011-03-16 |
| 1700116803 | I. Robert Horowitz, M.d., P.a. | Dermatology | 121 Congressional Ln, Suite 416, Rockville, MD 20852-1542 | 2010-01-12 |
| 1770715492 | Jorge R Toro | Dermatology | 6120 Executive Blvd, Exectuive Plaza South Suite 7012, Rockville, MD 20852-4906 | 2009-08-13 |
| Find all providers in ROCKVILLE | ||||
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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.