SHORE COMMUNITY MEDICAL LLC (NPI# 1740561778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740561778 |
| Entity Type | Organization |
| Organization Name | SHORE COMMUNITY MEDICAL LLC |
| Practice Address |
18947 John J Williams Hwy Suite 306 Rehoboth Beach DE 19971-4474 |
| Mailing Address |
18947 John J Williams Hwy Suite Number 306 Rehoboth Beach DE 19971-4474 |
| Practice Telephone | 3028274365 |
| Practice Fax Number | 3028274359 |
| Mailing Telephone | 3028274365 |
| Mailing Fax Number | 3028274359 |
| Enumeration Date | 2011-09-04 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | DR. THOMAS FRANCIS KELLY (MEMBER) |
| Authorized Official Telephone | 3028274365 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C10006041 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
18947 JOHN J WILLIAMS HWY SUITE 306 |
| City | REHOBOTH BEACH |
| State | DE |
| Zip Code | 19971-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343552 | Andrejs V Strauss | Radiology | 18947 John J Williams Hwy, Tunnell Cancer Center, Rehoboth Beach, DE 19971-4474 | 2005-06-01 |
| 1194290346 | Rhonda Kay Owens | Nurse Practitioner | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2018-10-03 |
| 1275026809 | Jeanna Kate Gerhard | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2018-06-08 |
| 1518464726 | Alexis Smith | Student in an Organized Health Care Education/Training Program | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971 | 2018-04-12 |
| 1780182394 | Teresa Lesher | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2018-01-29 |
| 1154843605 | Audrey Umschlag | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2017-07-15 |
| 1790220945 | Katherine Preston | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2016-12-26 |
| 1508255795 | Jenifer Russell | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2015-01-12 |
| 1477950384 | Martin Blood | Pharmacist | 18947 John J Williams Hwy, Bebe Healthcare Tunnell Cancer Center, Rehoboth Beach, DE 19971-4474 | 2014-11-21 |
| 1376940239 | Rose Marie Marese-smith | Pharmacist | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2014-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881110435 | Sussex Medical Supplies | Durable Medical Equipment & Medical Supplies | 18766 John J Williams Hwy #215, Rehoboth Beach, DE 19971 | 2017-08-16 |
| 1023477361 | Jennifer Kaufman | Occupational Therapy Assistant | 321 Country Club Drive, Rehoboth Beach, DE 19971 | 2016-02-15 |
| 1396155792 | Amanda Celaschi | Obstetrics & Gynecology | 19405 Plantation Rd, Rehoboth Beach, DE 19971 | 2014-05-07 |
| 1487085692 | Donald Ryan Lewis Sr. | General Practice | 110 Westside Drive, Rehoboth Beach, DE 19971 | 2013-12-13 |
| 1144499229 | Isabel Marie Benson | Nurse Practitioner | 18947 John J. Williams Highway, Rehoboth Beach, DE 19971 | 2008-02-22 |
| 1013116888 | Peter B Collis | Family Medicine | #6 Cedar Rd, Rehoboth Beach, DE 19971 | 2007-07-12 |
| 1316161904 | Kaci Camerron Madison | Counselor | 20576 Coastal Highway, Rehoboth Beach, DE 19971 | 2007-04-13 |
| 1740309400 | Kimberly D. Furtado | Naturopath | 35252 Hudson Way, Unit 2, Rehoboth Beach, DE 19971 | 2007-03-27 |
| 1194820480 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | Ocean Bay Mart, 3712 Highway One, Rehoboth Beach, DE 19971 | 2006-09-13 |
| 1184657439 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 19312 Lighthouse Plaza Blvd, Rehoboth Beach, DE 19971 | 2006-07-09 |
| Find all providers in zip 19971 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578792966 | Srujitha Murukutla | Internal Medicine | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2009-07-07 |
| 1760665889 | Thomas Francis Kelly | Internal Medicine | 18947 John J Williams Hwy, Suite 306, Rehoboth Beach, DE 19971-4474 | 2007-12-12 |
| 1740296466 | Selvi Lingam | Internal Medicine | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692112 | Chas Medicine LLC | Internal Medicine | 34435 King Street Row Ste 3, Lewes, DE 19958-4787 | 2019-07-30 |
| 1245884048 | Ephphatha Medical Care Services LLC | Internal Medicine | 23092 Meadow Wood Ct Unit 416, Seaford, DE 19973-7753 | 2019-07-30 |
| 1891357760 | Essentials Medical Group De LLC | Internal Medicine | 3700 Lancaster Pike Ste 301, Wilmington, DE 19805-1511 | 2019-07-01 |
| 1952817660 | Ocean Reach Internal Medicine, Pa | Internal Medicine | 32796 Ocean Reach Dr, Lewes, DE 19958-4662 | 2017-12-18 |
| 1578076451 | Dr Jeha LLC | Internal Medicine | 16295 Willow Creek Road, Lewes, DE 19958 | 2017-11-14 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1225458979 | Thanh Thien Le | Internal Medicine | 4755 Ogletown Staton Rd, Newark, DE 19718-0001 | 2014-04-21 |
| 1578982666 | Shannon E. Pan | Internal Medicine | 3301 Lancaster Pike Ste 9, Wilmington, DE 19805-1436 | 2014-04-16 |
| 1922428044 | Katelyn Fritzges | Internal Medicine | 3506 Kennett Pike Ste 230, Wilmington, DE 19807-3019 | 2014-04-16 |
| Find all providers with the same taxonomy | ||||
| City | REHOBOTH BEACH |
| Zip Code | 19971 |
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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.