SHORE HEALTH SERVICES INC (NPI# 1730122417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730122417 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SERVICES INC |
| Other Organization Name | SHORE CANCER CENTER |
| Practice Address |
10085 William F Bernart Circle Nassawadox VA 23413 |
| Mailing Address |
Po Box 802 Nassawadox VA 23413-0802 |
| Practice Telephone | 7574148355 |
| Practice Fax Number | 7574148034 |
| Mailing Telephone | 7574148355 |
| Mailing Fax Number | 7574148034 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | JOSEPH ZAGER (CEO / PRESIDENT) |
| Authorized Official Telephone | 7574148765 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHORE HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shore Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851798409 | Shore Health Services Inc | General Acute Care Hospital | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2014-11-25 |
| 1962579193 | Shore Health Services Inc | Psychiatric Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-30 |
| 1114097771 | Shore Health Services Inc | Medicare Defined Swing Bed Unit | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-09 |
| 1205906864 | Shore Health Services Inc | Skilled Nursing Facility | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-09 |
| 1083668982 | Shore Health Services Inc | Orthopaedic Surgery | 9506 Hospital Ave, Nassawadox, VA 23413 | 2006-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SHORE HEALTH SERVICES INC. | 20480 Market St, Onancock, Virginia 23417-4309 |
| Street Address |
10085 WILLIAM F BERNART CIRCLE |
| City | NASSAWADOX |
| State | VA |
| Zip Code | 23413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225092067 | Timothy John Campbell | Radiology | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2006-04-17 |
| 1255874558 | Riverside Physician Services Inc | Radiology | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2016-11-18 |
| 1851798409 | Shore Health Services Inc | General Acute Care Hospital | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2014-11-25 |
| 1508157272 | Jennifer Bell Ross | Nurse Practitioner | 10085 William F Bernart Circle, Nassawadox, VA 23413-0979 | 2011-04-28 |
| 1740207323 | Laura Diane Kerbin | Internal Medicine | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265920805 | Shawn W Butler | Hearing Instrument Specialist | 9502 Hospital Ave., Nassawadox, VA 23413 | 2018-04-30 |
| 1649726522 | John Willis Konkel | Counselor | 10129 Rogers Drive, Nassawadox, VA 23413 | 2016-08-30 |
| 1154694065 | Jeanette M Sessoms | Nurse Practitioner | 9524 Hospital Ave., Nassawadox, VA 23413 | 2012-02-23 |
| 1609990308 | Shore Health Services, Inc | Surgery | 10111 Rogers Drive, Nassawadox, VA 23413 | 2007-03-19 |
| 1447329370 | Family Practice Associates | Family Medicine | 9506 Hospital Avenue, Nassawadox, VA 23413 | 2006-11-07 |
| 1669567632 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 7114 Lankford Highway, Nassawadox, VA 23413 | 2006-10-04 |
| 1134212939 | Debra Castner | Nurse Practitioner | 9550 Hospital Ave, Po Box 923, Nassawadox, VA 23413 | 2006-10-02 |
| 1093810384 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 9550 Hospital Avenue, Nassawadox, VA 23413 | 2006-09-13 |
| 1346353570 | Federico Fernando Molera | Anesthesiology | 9507 Rogers Ave, Nassawadox, VA 23413 | 2006-08-15 |
| 1710920020 | Rayfield's Pharmacy Inc | Pharmacy | 9502 Hospital Ave, Nassawadox, VA 23413 | 2006-06-14 |
| Find all providers in zip 23413 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073556718 | Drury M Stith | Internal Medicine | 10085 William F. Bernart Circle, Nassawadox, VA 23413 | 2006-06-13 |
| 1740207323 | Laura Diane Kerbin | Internal Medicine | 10085 William F Bernart Circle, Nassawadox, VA 23413 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770996373 | Fady Mamdouh Fayek Tawadros | Internal Medicine | 6719 Gov Gc Peery Hwy Ste 1250, Richlands, VA 24641-0379 | 2014-06-11 |
| 1750700209 | Ko Ko Maung | Internal Medicine | 7544 Medical Dr Ste B, Gloucester, VA 23061-4299 | 2014-04-14 |
| 1942628458 | Joshua Allen | Internal Medicine | 3580 Joseph Siewick Dr Ste 403, Fairfax, VA 22033-1764 | 2014-04-01 |
| 1841549953 | Maryview Hospital | Internal Medicine | 7185 Harbour Towne Pkwy S Ste 105, Suffolk, VA 23435-3796 | 2012-09-05 |
| 1417164476 | Farn Chan | Internal Medicine | 2280 Opitz Blvd Ste 220, Woodbridge, VA 22191-3362 | 2007-05-17 |
| 1063639011 | John Nhu Khuu | Internal Medicine | 44045 Riverside Pkwy Ste 224, Lansdowne, VA 20176-5101 | 2007-04-19 |
| 1841372356 | Pranav D. Patel | Internal Medicine | 545 Sunset Ln, Culpeper, VA 22701-3914 | 2006-10-20 |
| 1386687358 | Robert Gary Fenton | Internal Medicine | 6400 Arlington Blvd Ste 940, Falls Church, VA 22042-2336 | 2006-06-14 |
| 1114996170 | Manoel Moraes Jr. | Internal Medicine | 44055 Riverside Pkwy Ste 224, Lansdowne, VA 20176-5177 | 2006-03-14 |
| 1538140306 | Donald Trump | Internal Medicine | 3225 Gallows Rd, Fairfax, VA 22031-4872 | 2005-11-09 |
| Find all providers with the same taxonomy | ||||
| City | NASSAWADOX |
| Zip Code | 23413 |
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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.