SHORE HEALTH SYSTEM, INC (NPI# 1669431219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669431219 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SYSTEM, INC |
| Other Organization Name | UM SHORE MEDICAL CENTER AT EASTON |
| Practice Address |
219 S Washington St Easton MD 21601-2913 |
| Practice Telephone | 4108221000 |
| Practice Fax Number | 4107703836 |
| Mailing Telephone | 4108221000 |
| Mailing Fax Number | 4107703836 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MR. KENNETH KOZEL (PRESIDENT/CEO) |
| Authorized Official Telephone | 4108221000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| N | 273Y00000X | Rehabilitation Unit | Hospital Units | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 000305100 | 05 |
| Other Name | Type Code |
|---|---|
| UM Shore Medical Center at Easton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286401 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct Ste 100, Easton, MD 21601-4095 | 2017-10-19 |
| 1659899763 | Shore Health System, Inc | Clinic/Center | 1140 Blades Farm Road, Ste 102, Denton, MD 21629-3459 | 2017-09-08 |
| 1477513273 | Shore Health System, Inc | Clinical Medical Laboratory | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| 1770184558 | Shore Health System, Inc | Clinical Medical Laboratory | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-11-06 |
| 1396366845 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-4095 | 2020-05-06 |
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| 1710283569 | Shore Health System, Inc | Clinic/Center | 509 Idlewild Ave, Easton, MD 21601-3889 | 2011-01-26 |
| 1790860237 | Shore Health System, Inc | Dietitian, Registered | 219 S Washington St, Easton, MD 21601-2913 | 2006-10-25 |
| 1447210463 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| 1396705182 | Shore Health System, Inc | Skilled Nursing Facility | 219 S Washington St, Easton, MD 21601-2913 | 2006-03-24 |
| Street Address |
219 S WASHINGTON ST |
| City | EASTON |
| State | MD |
| Zip Code | 21601-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907450 | Mark P Downey | Anesthesiology | 219 S Washington St, Easton, MD 21601-2913 | 2005-10-26 |
| 1184224362 | Erin Hurley Era | Pharmacist | 219 S Washington St, Easton, MD 21601-2913 | 2020-10-28 |
| 1144829573 | Melissa Grube Means | Pharmacist | 219 S Washington St, Easton, MD 21601-2913 | 2020-10-17 |
| 1073111589 | Matthew Kraft | Radiology | 219 S Washington St, Easton, MD 21601-2913 | 2020-10-16 |
| 1265049068 | Christina Grace Generoso | Occupational Therapist | 219 S Washington St, Easton, MD 21601-2913 | 2020-09-25 |
| 1255944674 | Xingyue Zhang | Dietitian, Registered | 219 S Washington St, Easton, MD 21601-2913 | 2020-08-25 |
| 1679191001 | Ross Jones | Pharmacist | 219 S Washington St, Easton, MD 21601-2913 | 2020-07-13 |
| 1255960712 | Christina Seningen | Nurse Practitioner | 219 S Washington St, Easton, MD 21601-2913 | 2020-04-06 |
| 1447715263 | Chidex D Eugene-francis | Emergency Medicine | 219 S Washington St, Easton, MD 21601-2913 | 2019-02-06 |
| 1861961260 | Victoria Kimberly Kuntz | Nurse Practitioner | 219 S Washington St, Easton, MD 21601-2913 | 2018-11-15 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740539774 | Easton Hospital | General Acute Care Hospital | 250 S. 21st St, Easton, PA 18042 | 2012-09-06 |
| 1497050470 | St. Luke's Hospital - Anderson Campus | General Acute Care Hospital | 1872 St Lukes Blvd, Easton, PA 18045-5669 | 2011-01-21 |
| 1245409309 | Easton Hospital | General Acute Care Hospital | 2040 Lehigh St, Apt # 202, Easton, PA 18042-3860 | 2008-02-22 |
| 1881218915 | St. Luke's Hospital Easton Campus | General Acute Care Hospital | 250 S 21st St, Easton, PA 18042-3851 | 2020-06-04 |
| 1073047981 | St. Luke's Hospital- Easton Campus | General Acute Care Hospital | 250 S 21st St, Easton, PA 18042-3851 | 2017-04-18 |
| 1740252964 | Northampton Hospital Company LLC | General Acute Care Hospital | 250 S 21st St, Easton, PA 18042-3851 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961510 | Comptroller of Maryland Central Payroll Bureau | General Acute Care Hospital | 1 W Pratt St, Baltimore, MD 21201-2433 | 2020-04-17 |
| 1982171005 | Tidalhealth Peninsula Regional, Inc. | General Acute Care Hospital | 106 Milford St Ste 404, Salisbury, MD 21804-6967 | 2018-10-26 |
| 1508397738 | Northshore Lij Forest Hills | General Acute Care Hospital | 10102 Stansfield Rd, Laurel, MD 20723-1738 | 2017-03-21 |
| 1982141248 | Dimensions Healthcare System | General Acute Care Hospital | 6939 Lamont Dr, Lanham, MD 20706 | 2017-01-25 |
| 1578915344 | Medstar Harbor Health | General Acute Care Hospital | 6500 N Charter Rd Apt H, Glen Burnie, MD 21061-3139 | 2016-07-06 |
| 1215312350 | Abdullah Alsuwailem | General Acute Care Hospital | 22 S Greene St., Baltimore, MD 21201 | 2015-07-29 |
| 1336524735 | Andrew Whelton | General Acute Care Hospital | 1737 Beaver Brook Ln, Hunt Valley, MD 21030-1603 | 2015-07-27 |
| 1083099923 | Johns Hopkins | General Acute Care Hospital | 777 S Eden St Apt 1106, Baltimore, MD 21231-2848 | 2015-07-21 |
| 1962886549 | Scott F. Cosenza | General Acute Care Hospital | 6460 Crain Hwy, La Plata, MD 20646-4260 | 2015-07-14 |
| 1811371537 | Norma Velasco Flores | General Acute Care Hospital | 7516 Gilley Ter, Baltimore, MD 21237-3703 | 2015-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHORE HEALTH SYSTEM, INC.
| 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.