SHORE HEALTH SYSTEM, INC. (NPI# 1649501073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649501073 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SYSTEM, INC. |
| Other Organization Name | SHORE HEALTH SYSTEM SURGERY CENTER |
| Practice Address |
6 Caulk Lane Easton MD 21601-3854 |
| Mailing Address |
219 S Washington Street Easton MD 21601-2913 |
| Practice Telephone | 4108225559 |
| Practice Fax Number | 4108228238 |
| Mailing Telephone | 4108221000 |
| Mailing Fax Number | 4108227834 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MR. KENNETH D KOZEL (PRESIDENT & CEO) |
| Authorized Official Telephone | 4108221000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 000305100 | 05 |
| Other Name | Type Code |
|---|---|
| Shore Health System Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033693551 | Shore Health System, Inc. | Clinical Medical Laboratory | 8221 Teal Dr Ste 410, Easton, MD 21601-7212 | 2018-09-20 |
| 1437557220 | Shore Health System, Inc. | Clinic/Center | 219 S Washington St, Easton, MD 21601-2913 | 2014-12-11 |
| Street Address |
6 CAULK LANE |
| City | EASTON |
| State | MD |
| Zip Code | 21601-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710957303 | Edmond J Fitzgerald | Urology | 6 Caulk Lane, Easton, MD 21601 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
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| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1952337107 | Easton Eye Surgery Center, LLC | Clinic/Center | 503 Dutchmans Ln, Easton, MD 21601-4334 | 2006-06-22 |
| 1043294820 | Valley Advanced Gamma Knife, LLC | Clinic/Center | 2407 Butler St, Easton, PA 18042-5302 | 2005-12-05 |
| 1427323849 | St. Luke's Hospital - Anderson Campus | Clinic/Center | 1872 St Lukes Blvd, Easton, PA 18045-5669 | 2012-03-19 |
| 1497870505 | Orthopedic Care Surgery Center, LLC | Clinic/Center | 15 Roche Bros. Way, Easton, MA 02356-1000 | 2007-03-20 |
| 1184684573 | Easton Ambulatory Services Associates | Clinic/Center | 3729 Easton Nazareth Hwy, Easton, PA 18045-8344 | 2006-03-28 |
| 1093786501 | Surgery Center of Easton Lp | Clinic/Center | 510 Idlewild Ave, Suite 110, Easton, MD 21601-3881 | 2006-02-01 |
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|---|---|---|---|---|
| 1942807961 | Vascular Surgery Center of Abingdon | Clinic/Center | 3435 Box Hill Corporate Center Dr Ste H, Abingdon, MD 21009-1204 | 2020-10-02 |
| 1518570084 | Eastside Anesthesia LLC | Clinic/Center | 19 Fontana Ln Ste 104, Rosedale, MD 21237-3027 | 2020-08-25 |
| 1215548524 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 | 2020-08-11 |
| 1861001372 | Bay Surgery Centers LLC | Clinic/Center | 810 Bestgate Rd Ste 120, Annapolis, MD 21401-3033 | 2020-07-30 |
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1528680865 | Meridian Surgery Center LLC | Clinic/Center | 19638 Leitersburg Pike Ste 205, Hagerstown, MD 21742-1515 | 2020-05-09 |
| 1346862869 | Nspc Surgery Center of Maryland, LLC | Clinic/Center | 6710 Oxon Hill Rd Ste 550b, Oxon Hill, MD 20745-1117 | 2020-05-07 |
| 1225665292 | Annapolis Endoscopy Center LLC | Clinic/Center | 1419 Forest Dr Ste 105, Annapolis, MD 21403-1474 | 2020-03-26 |
| 1992345748 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 | 2020-01-09 |
| 1972141455 | Fallsgrove Endoscopy Center, LLC | Clinic/Center | 15001 Shady Grove Rd Ste 400 4th Floor, Rockville, MD 20850-6352 | 2019-12-16 |
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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.