SHORE HEALTH SERVICES INC. (NPI# 1619076916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619076916 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SERVICES INC. |
| Other Organization Name | RIVERSIDE SHORE MEMORIAL HOSPITAL |
| Practice Address |
20480 Market St Onancock VA 23417 |
| Mailing Address |
608 Denbigh Blvd Ste 800 Newport News VA 23608-4487 |
| Practice Telephone | 7573022100 |
| Mailing Telephone | 7578757545 |
| Mailing Fax Number | 7578757553 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | MR. WALTER W AUSTIN JR. (SENIOR VP/CFO) |
| Authorized Official Telephone | 7578757545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
H1901 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004900375 | 05 | |
| VA | DMAS-SKILLED | 004951638 | 01 |
| VA | MEDICARE ACUTE CARE | 490037 | 01 |
| VA | ANTHEM | 0000000000040 | 01 |
| Other Name | Type Code |
|---|---|
| Riverside Shore Memorial Hospital | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SHORE HEALTH SERVICES INC. | 20480 Market St, Onancock, Virginia 23417-4309 |
| Street Address |
20480 MARKET ST |
| City | ONANCOCK |
| State | VA |
| Zip Code | 23417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582525 | Aarika Lieske Turner | Registered Nurse | 20480 Market St, Onancock, VA 23417-4309 | 2019-01-17 |
| 1841794476 | Lauren Pruitt | Physical Therapy Assistant | 20480 Market St, Onancock, VA 23417-4309 | 2018-03-20 |
| 1659781896 | Elizabeth Waring | Obstetrics & Gynecology | 20480 Market St, Onancock, VA 23417-4309 | 2014-04-28 |
| 1891115903 | Prabu Selvam | Emergency Medicine | 20480 Market St, Onancock, VA 23417-4309 | 2014-04-16 |
| 1366726077 | Rudra Beharrysingh | Internal Medicine | 20480 Market St, Onancock, VA 23417 | 2011-09-30 |
| 1750544144 | Alex Zawoloka | Hospitalist | 20480 Market St, Onancock, VA 23417-4309 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593025 | Dawn Alison Craig | Speech-Language Pathologist | 25221 Savageville Road Unit A, Onancock, VA 23417 | 2020-09-22 |
| 1679827687 | James J James | Preventive Medicine | 16422 Wanderers Port Lane, Onancock, VA 23417 | 2012-10-30 |
| 1952330219 | Bruce Alan Krueger | Podiatrist | 20190 Market St., Onancock, VA 23417 | 2006-06-30 |
| 1639178122 | Michael Grillon | Family Medicine | 20486 Market Street, Onancock, VA 23417 | 2005-07-18 |
| 1821591942 | Sarah Mears Chew | Speech-Language Pathologist | 20486 Market Street, Onancock, VA 23417 | 2018-03-15 |
| 1417495367 | Riverside Physician Services Inc | Radiology | 20480 Market Street, Onancock, VA 23417 | 2017-02-10 |
| 1801334297 | Riverside Physician Services Inc | Family Medicine | 20486 Market Street, Onancock, VA 23417 | 2017-02-06 |
| 1649686429 | Abdallah Abdelrazeq | Internal Medicine | 20480 Market Street, Onancock, VA 23417 | 2014-07-01 |
| 1346525128 | Allen Ozeran | Internal Medicine | 20486 Market Street, Onancock, VA 23417 | 2011-10-12 |
| 1730474115 | Ambar Matta | Surgery | 20486 Market Street, Onancock, VA 23417 | 2011-06-14 |
| Find all providers in zip 23417 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811125404 | Montgomery Regional Hospital | General Acute Care Hospital | 722 Park St, Christiansburg, VA 24073-3137 | 2009-06-23 |
| 1962504019 | Norton-hma Inc | General Acute Care Hospital | Third Street N.e., Norton, VA 24273 | 2006-09-01 |
| 1336103738 | Community Memorial Hospital | General Acute Care Hospital | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-04-13 |
| 1538668116 | Lee County Medical Center,llc | General Acute Care Hospital | 127 Health Care Dr, Pennington Gap, VA 24277-2853 | 2018-02-08 |
| 1730596933 | Centra | General Acute Care Hospital | 800 Oak St, Farmville, VA 23901-1199 | 2014-07-20 |
| 1275963530 | Cardiology Clinic | General Acute Care Hospital | 1045 Main St, Suite 1, Danville, VA 24541-1800 | 2013-11-22 |
| 1134451651 | Fauquier Health | General Acute Care Hospital | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2010-02-09 |
| 1427388941 | Twin County Regional Hospital | General Acute Care Hospital | 200 Hospital Dr, Galax, VA 24333-2227 | 2010-01-06 |
| 1518119817 | Bonsecours | General Acute Care Hospital | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2008-10-17 |
| 1295991594 | Linda Katherine Wise | General Acute Care Hospital | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2008-08-06 |
| 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.