SHORE HEALTH SYSTEM, INC (NPI# 1396366845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396366845 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SYSTEM, INC |
| Practice Address |
10 Martin Ct Easton MD 21601-4095 |
| Mailing Address |
219 S Washington St Easton MD 21601-2913 |
| Practice Telephone | 4108207778 |
| Mailing Telephone | 4108221000 |
| Mailing Fax Number | 4108227834 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | KENNETH KOZEL (PRESIDENT & CEO) |
| Authorized Official Telephone | 4108221000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shore Health System PET Services | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 Shoreway Dr, Queenstown, MD 216581680 | 4108273811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286401 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct Ste 100, Easton, MD 21601-4095 | 2017-10-19 |
| 1659899763 | Shore Health System, Inc | Clinic/Center | 1140 Blades Farm Road, Ste 102, Denton, MD 21629-3459 | 2017-09-08 |
| 1477513273 | Shore Health System, Inc | Clinical Medical Laboratory | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| 1770184558 | Shore Health System, Inc | Clinical Medical Laboratory | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-11-06 |
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| 1710283569 | Shore Health System, Inc | Clinic/Center | 509 Idlewild Ave, Easton, MD 21601-3889 | 2011-01-26 |
| 1790860237 | Shore Health System, Inc | Dietitian, Registered | 219 S Washington St, Easton, MD 21601-2913 | 2006-10-25 |
| 1447210463 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| 1396705182 | Shore Health System, Inc | Skilled Nursing Facility | 219 S Washington St, Easton, MD 21601-2913 | 2006-03-24 |
| 1285694091 | Shore Health System, Inc | Psychiatric Unit | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-03-24 |
| Street Address |
10 MARTIN CT |
| City | EASTON |
| State | MD |
| Zip Code | 21601-4095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477513273 | Shore Health System, Inc | Clinical Medical Laboratory | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| 1295796357 | Mary Genevieve Hynes | Occupational Therapist | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-29 |
| 1700846250 | Pam B Titus | Physical Therapist | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-27 |
| 1447210463 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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|---|---|---|---|---|
| 1508308271 | Superior Testing Services | Clinic/Center | 3630 Corriere Rd Apt 303, Easton, PA 18045-7972 | 2016-11-13 |
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| 1164808259 | Precision Imaging and Diagnostic Services | Clinic/Center | 1807 Pennsylvania Ave Ste E, Baltimore, MD 21217-3214 | 2015-07-30 |
| 1871886838 | Palm Diagnostics Inc | Clinic/Center | 5021 Rome Red Way, Ellicott City, MD 21043-6847 | 2011-05-24 |
| 1437649068 | Alliance Healthcare Services Inc | Clinic/Center | 111 W High St, Elkton, MD 21921-5529 | 2018-05-18 |
| 1407283302 | Calverthealth Medical Center, Inc. | Clinic/Center | 85 Hospital Rd, Prince Frederick, MD 20678-4018 | 2013-10-09 |
| 1689969172 | H & J Mobile X-ray LLC. | Clinic/Center | 6188 Oxon Hill Rd, 603, Oxon Hill, MD 20745-3113 | 2011-06-13 |
| 1699902411 | Heads Up Imaging, LLC | Clinic/Center | 535 Main St, Suite 113, Laurel, MD 20707-4335 | 2009-06-18 |
| 1659550994 | Calverthealth Medical Center, Inc. | Clinic/Center | 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 | 2007-11-02 |
| 1275723488 | Cardio Vascular Center, LLC | Clinic/Center | 6228 Oxon Hill Rd, Oxon Hill, MD 20745-3033 | 2007-07-25 |
| 1043430945 | U.S. Mobile Imaging Ll | Clinic/Center | 122 S Centre St, Cumberland, MD 21502-3021 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
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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.