JOHN MITCHELL SHORE (NPI# 1568595577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568595577 |
| Entity Type | Individual |
| Full Name | JOHN MITCHELL SHORE |
| Credential | CP |
| Practice Address |
1728 S Hawthorne Rd Winston Salem NC 27103-4016 |
| Practice Telephone | 3367683666 |
| Practice Fax Number | 3367683468 |
| Mailing Telephone | 3367683666 |
| Mailing Fax Number | 3367683468 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7795037 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194716035 | John W Shore | Ophthalmology | 3705 Medical Pkwy, Suite 120, Austin, TX 78705-1019 | 2005-10-31 |
| Street Address |
1728 S HAWTHORNE RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811963812 | Bio-tech Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1728 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2006-02-28 |
| 1669898219 | Carrie Bonner | Specialist | 1728 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2014-03-06 |
| 1942322607 | Erik J Rasmussen | Specialist | 1728 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2007-04-04 |
| 1477686475 | Anthony J Saia Jr. | Specialist | 1728 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2007-03-13 |
| 1063545077 | Susan R Clark | Specialist | 1728 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1639167620 | Michael G Bissell | Specialist | 3680 Westgate Center Circle, Winston Salem, NC 27103-2935 | 2005-10-12 |
| 1477686475 | Anthony J Saia Jr. | Specialist | 1728 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2007-03-13 |
| 1063545077 | Susan R Clark | Specialist | 1728 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648817 | Shanae Starnes | Specialist | 11009 Okeefe Ct, Charlotte, NC 28215-5043 | 2020-10-26 |
| 1184224685 | Karmelita Stevens | Specialist | 2750 E W T Harris Blvd Ste 235, Charlotte, NC 28213-4373 | 2020-10-26 |
| 1598363715 | Arielle Williams | Specialist | 2622 Hope Mills Rd Ste 116, Fayetteville, NC 28306-8286 | 2020-10-09 |
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1295346864 | Mariel Torres | Specialist | 1657 Scarbrough Cir Sw, Concord, NC 28025-6726 | 2020-08-16 |
| 1518576578 | Sharon D Cox | Specialist | 2511 Glascock St, Raleigh, NC 27610-1713 | 2020-07-27 |
| 1184232126 | Chondra Jemise Wilson | Specialist | 1237 Tyvola Dr # B, Charlotte, NC 28210-3870 | 2020-07-15 |
| 1942828397 | Theresa Hennegan | Specialist | 9705 Northeast Pkwy Ste 102, Matthews, NC 28105-9704 | 2020-07-13 |
| 1164049532 | Denise Williams James | Specialist | 150 Falls St, Lawndale, NC 28090-9582 | 2020-07-01 |
| 1619505138 | Bjutiful Soul Health | Specialist | 144 Battley Dairy Rd, Hamlet, NC 28345-7253 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.