DR. BENJAMIN MARK SHORE (NPI# 1619142957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619142957 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN MARK SHORE |
| Credential | D.O. |
| Practice Address |
2532 Regatta Ave Sunset Island 2 Miami Beach FL 33140-4235 |
| Practice Telephone | 3055322532 |
| Practice Fax Number | 3055329330 |
| Mailing Telephone | 3055322532 |
| Mailing Fax Number | 3055329330 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS-0003915 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | OS-0003915 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 06625429900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902339013 | Benjamin Shore | Student in an Organized Health Care Education/Training Program | 515 Fireside Ln, Cherry Hill, NJ 08003-3419 | 2017-04-05 |
| 1922353176 | Benjamin Shore | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2012-07-13 |
| 1992027213 | Benjamin Joel Shore | Orthopaedic Surgery | 300 Longwood Ave, Department of Orthopedic Surgery - Hunnewell 221, Boston, MA 02115-5724 | 2010-03-01 |
| Street Address |
2532 REGATTA AVE SUNSET ISLAND 2 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770859266 | Consult A Doctor Inc | Emergency Medicine | 846 Lincoln Rd, 5th Floor, Miami Beach, FL 33139-2878 | 2012-03-28 |
| 1124391149 | Mareril Wheeler | Emergency Medicine | 1504 Bay Rd, Apartment 2910, Miami Beach, FL 33139-3399 | 2012-02-22 |
| 1306004916 | Samoho Healthcare South Beach LLC | Emergency Medicine | 1355 Alton Rd, Miami Beach, FL 33139-3811 | 2008-05-30 |
| 1316114614 | Shaila Bhagwan Kirpalani | Emergency Medicine | 1630 Bay Dr, Miami Beach, FL 33141-4718 | 2008-05-15 |
| 1588602148 | Jem Yelkovan | Emergency Medicine | 6969 Collins Ave Apt 1105, Miami Beach, FL 33141-3223 | 2006-06-03 |
| 1659326494 | Gavrilo Lazovic | Emergency Medicine | 6131 Lagorce Dr, Miami Beach, FL 33140-2118 | 2006-05-23 |
| 1386619054 | Mario Albert Malvehy | Emergency Medicine | 400 W 41st St Ste 311, Miami Beach, FL 33140-3516 | 2006-02-17 |
| 1568441244 | Altagracia Miranda | Emergency Medicine | 1000 5th St Ste 200, Miami Beach, FL 33139-6510 | 2006-01-11 |
| 1972025310 | Blake Guillory II | Emergency Medicine | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2017-07-07 |
| 1952839458 | Mauricio Jose Baca | Emergency Medicine | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2017-05-28 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
Please comment or provide details below to improve the information on DR. BENJAMIN MARK 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.