PAUL MICHAEL SHORE (NPI# 1699739599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699739599 |
| Entity Type | Individual |
| Full Name | PAUL MICHAEL SHORE |
| Credential | MD |
| Practice Address |
3601 A Street Philadelphia PA 19134 |
| Mailing Address |
3601 Front Street Philadelphia PA 19134 |
| Practice Telephone | 2154275000 |
| Mailing Telephone | 2154275000 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2014-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD070589L | PA | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
M0273 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 170113801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184737264 | Paul I. Shore | Dentist | 226 W Morris St, Bath, NY 14810-1413 | 2006-08-16 |
| 1205847852 | Paul T Shore | Dentist | 617 Jackson St, Wausau, WI 54401 | 2006-08-10 |
| Street Address |
3601 A STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477963155 | Dale T. Smith | Dentist | 3601 A Street, St. Christoper's Hospital, Philadelphia, PA 19134 | 2014-05-02 |
| 1316385925 | Amir H. Jazayeri | Pediatrics | 3601 A Street, Philadelphia, PA 19134 | 2013-06-06 |
| 1174836621 | Schc Pediatric Associates, LLC | Pediatrics | 3601 A Street, Philadelphia, PA 19134-1095 | 2010-07-26 |
| 1851620660 | Jacquelyn Lee English | Physician Assistant | 3601 A Street, Suite 2204 St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2009-12-08 |
| 1366777997 | Catherine Rowand | Nurse Anesthetist, Certified Registered | 3601 A Street, Philadelphia, PA 19134 | 2009-10-15 |
| 1760618490 | Lindsey Verano | Dietitian, Registered | 3601 A Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2009-06-09 |
| 1407015043 | Kimberly Dawn Kushner | Nurse Practitioner | 3601 A Street, Waldo E Nelson Pavillion-2nd Floor, Philadelphia, PA 19134-1095 | 2008-06-09 |
| 1356525216 | David Alan Zwillenberg | Otolaryngology | 3601 A Street, Suite 2205, Philadelphia, PA 19134-1095 | 2007-12-27 |
| 1346440674 | Ogechukwu Menkiti | Pediatrics | 3601 A Street, Philadelphia, PA 19134-1095 | 2007-07-24 |
| 1619174265 | Deepti Ashok Raybagkar | Pediatrics | 3601 A Street, Philadelphia, PA 19134 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093039893 | Charlotte Zahara Woods-hill | Pediatrics | 3401 Civic Center Bvd, Suite 9329, Philadelphia, PA 19104-4319 | 2010-03-23 |
| 1790910339 | Amir Bar | Pediatrics | 160 E. Erie Ave, Philadelphia, PA 19134 | 2009-05-27 |
| 1528149150 | Arun Chopra | Pediatrics | Front and Erie St, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2006-10-18 |
| 1750331278 | Sharon Calaman | Pediatrics | St.christophers Hospital for Children, Erie Ave At Front Street, Philadelphia, PA 19134-1095 | 2006-05-12 |
| 1639142086 | Robert A Berg | Pediatrics | 324 S. 34th Street, Suite 9329, Philadelphia, PA 19104-4399 | 2006-02-08 |
| 1114919040 | Gabriel Hauser | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2005-08-17 |
| 1083232557 | Riane Goodwin | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-07-10 |
| 1518501733 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-31 |
| 1750944500 | Natalie Horvatinovic | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-04-17 |
| 1922570829 | Stephanie Oreilly | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-12-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
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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.