DR. JEREMY M SHORE (NPI# 1598743197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598743197 |
| Entity Type | Individual |
| Full Name | DR. JEREMY M SHORE |
| Credential | M.D. |
| Practice Address |
1 Orthopedic Dr Peabody MA 01960-1668 |
| Practice Telephone | 9788186350 |
| Practice Fax Number | 9788186355 |
| Mailing Telephone | 9788186350 |
| Mailing Fax Number | 9788186355 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2009-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
206215 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 419201 | 01 |
| MA | 2011140 | 05 | |
| MA | BCBS | J26914 | 01 |
| Street Address |
1 ORTHOPEDIC DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821076522 | Ira K. Evans | Orthopaedic Surgery | 1 Orthopedic Dr, 2nd Floor, Peabody, MA 01960-1668 | 2006-01-04 |
| 1205915592 | Cara M Puglia | Physical Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-06 |
| 1225117021 | Andrew Morin | Physical Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-03 |
| 1154400919 | Abra Nicolo Lembo | Physical Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-03 |
| 1972681328 | Christopher John Telep | Occupational Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-02 |
| 1891873105 | Patricia Gagnon Mcgee | Occupational Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-02 |
| 1285712513 | Michael Joseph Mccormick | Physical Therapy Assistant | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-11-02 |
| 1043396872 | Scott Braje | Physical Therapist | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-10-27 |
| 1154410587 | Janet Hope Sherman | Radiology | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-10-12 |
| 1629166905 | Physiotherapy Associates Inc | Clinic/Center | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104804665 | Richard M. Ozuna | Orthopaedic Surgery | 1 Orthopedic Dr, Peabody, MA 01960-1668 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225518848 | Leah Witkin | Orthopaedic Surgery | 55 Fruit St Ste 3800, Boston, MA 02114-2621 | 2018-08-14 |
| 1104195981 | Kshitij Chaudhary | Orthopaedic Surgery | 44 Washigton Street #217, Brookline, MA 02445 | 2011-12-22 |
| 1376657056 | James Cushing Bayley | Orthopaedic Surgery | 736 Cambridge St # Ccp-9, Bone and Joint Center, Boston, MA 02135-2907 | 2006-08-18 |
| 1558316166 | Boston Spine Group, LLC. | Orthopaedic Surgery | 299 Washington Street, Newton, MA 02458-1612 | 2006-05-23 |
| 1841292414 | Frank X Pedlow Jr. | Orthopaedic Surgery | 30 Lancaster St, 2nd Floor, Boston, MA 02114-1704 | 2005-08-12 |
| 1285636993 | Louis G Jenis | Orthopaedic Surgery | 299 Washington St, Newton, MA 02458-1612 | 2005-08-12 |
| 1619507043 | Boston Orthopaedic & Spine LLC | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2020-01-24 |
| 1679132070 | Boston Orthopedic Spine Care Inc | Orthopaedic Surgery | 822 Boylston St, Chestnut Hill, MA 02467-2595 | 2019-06-10 |
| 1962889295 | Robert J. Banco, Md, PC | Orthopaedic Surgery | 25 Washington St, Unit # 1-b, Wellesley, MA 02481-1752 | 2015-05-06 |
| 1619399961 | Paul Glazer, Md, LLC | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2014-01-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JEREMY M SHORE.
| 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.