SHORE HEALTH SERVICES, INC (NPI# 1609990308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609990308 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SERVICES, INC |
| Other Organization Name | RIVERSIDE SHORE SURGICAL ASSOCIATES |
| Practice Address |
10111 Rogers Drive Nassawadox VA 23413 |
| Mailing Address |
Po Box 979 Nassawadox VA 23413-0979 |
| Practice Telephone | 7574148490 |
| Practice Fax Number | 7574148560 |
| Mailing Telephone | 7574148490 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-12-30 |
| Authorized Official Name | JOSEPH ZAGER (BILLING MANAGER) |
| Authorized Official Telephone | 7574148054 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHORE HEALTH SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Riverside Shore Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114315447 | Shore Health Services, Inc | Hospice Care, Community Based | 25379 Lankford Highway, Suite A, Onley, VA 23418 | 2015-01-09 |
| 1053360529 | Shore Health Services, Inc | Home Health | 25379 Lankford Hwy, Suite B, Onley, VA 23418 | 2006-05-10 |
| 1982925640 | Shore Health Services, Inc | Anesthesiology | 9507 Hospital Avenue, Nassawadox, VA 23413-0736 | 2010-06-17 |
| 1336468727 | Shore Health Services, Inc | Counselor | 23379 Commerce Dr, Accomac, VA 23301-1314 | 2010-05-25 |
| 1346564697 | Shore Health Services, Inc | Family Medicine | 9507 Hospital Ave, Nassawadox, VA 23413-0718 | 2010-03-16 |
| 1811219751 | Shore Health Services, Inc | General Practice | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2010-02-19 |
| 1326288069 | Shore Health Services, Inc | Internal Medicine | 9524 Hospital Avenue, Nassawadox, VA 23413 | 2009-02-20 |
| 1043432610 | Shore Health Services, Inc | Emergency Medicine | 9507 Hospital Ave, Nassawadox, VA 23413 | 2007-05-03 |
| 1427003185 | Shore Health Services, Inc | Clinic/Center | 17385 Lankford Hwy, Parksley, VA 23421 | 2006-05-23 |
| Street Address |
10111 ROGERS DRIVE |
| City | NASSAWADOX |
| State | VA |
| Zip Code | 23413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265920805 | Shawn W Butler | Hearing Instrument Specialist | 9502 Hospital Ave., Nassawadox, VA 23413 | 2018-04-30 |
| 1649726522 | John Willis Konkel | Counselor | 10129 Rogers Drive, Nassawadox, VA 23413 | 2016-08-30 |
| 1154694065 | Jeanette M Sessoms | Nurse Practitioner | 9524 Hospital Ave., Nassawadox, VA 23413 | 2012-02-23 |
| 1447329370 | Family Practice Associates | Family Medicine | 9506 Hospital Avenue, Nassawadox, VA 23413 | 2006-11-07 |
| 1669567632 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 7114 Lankford Highway, Nassawadox, VA 23413 | 2006-10-04 |
| 1134212939 | Debra Castner | Nurse Practitioner | 9550 Hospital Ave, Po Box 923, Nassawadox, VA 23413 | 2006-10-02 |
| 1093810384 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 9550 Hospital Avenue, Nassawadox, VA 23413 | 2006-09-13 |
| 1346353570 | Federico Fernando Molera | Anesthesiology | 9507 Rogers Ave, Nassawadox, VA 23413 | 2006-08-15 |
| 1710920020 | Rayfield's Pharmacy Inc | Pharmacy | 9502 Hospital Ave, Nassawadox, VA 23413 | 2006-06-14 |
| 1073556718 | Drury M Stith | Internal Medicine | 10085 William F. Bernart Circle, Nassawadox, VA 23413 | 2006-06-13 |
| Find all providers in zip 23413 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255386439 | Ray Edward Burger | Surgery | 9507 Hospital Ave., Nassawadox, VA 23413 | 2006-05-24 |
| 1841252459 | Larry Felix Weisner | Surgery | 9536 Hospital Avenue, Nassawadox, VA 23413 | 2006-04-06 |
| 1447528260 | Riverside Physician Services Inc | Surgery | 9536 Hospital Ave, Nassawadox, VA 23413 | 2011-12-07 |
| 1164650040 | Otis W Doss Jr. | Surgery | 9536 Hospital Ave, Nassawadox, VA 23413 | 2009-06-30 |
| 1871520379 | Charles David Goldstein | Surgery | 9536 Hospital Ave, Nassawadox, VA 23413 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819911 | Charles W Hurt | Surgery | 195 Riverbend Dr Ste 1, Charlottesville, VA 22911-8708 | 2020-04-08 |
| 1720616261 | Katherine Maria Barrows | Surgery | 3300 Gallows Rd, Dept of Surgery, Falls Church, VA 22042-3307 | 2020-03-30 |
| 1891202412 | Valley Physician Enterprise, Inc. | Surgery | 1870 Amherst St Ste 2a, Winchester, VA 22601-2841 | 2018-01-04 |
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1457729048 | Donnarose Klemovitch | Surgery | 11226 Goldflower Ct, Fairfax Station, VA 22039-2026 | 2015-09-13 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1760877377 | Caleb Luke Cutherell | Surgery | 2900 Lamb Cir Ste 302, Christiansburg, VA 24073-6341 | 2015-03-31 |
| 1457745143 | Dwayne North | Surgery | 7554 Hospital Dr Ste D303, Gloucester, VA 23061-4178 | 2015-03-20 |
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
| Find all providers with the same taxonomy | ||||
| City | NASSAWADOX |
| Zip Code | 23413 |
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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.