SHORE HEALTH SYSTEM, INC (NPI# 1770184558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770184558 |
Entity Type | Organization |
Organization Name | SHORE HEALTH SYSTEM, INC |
Practice Address |
300 Byrn St Cambridge MD 21613-1908 |
Mailing Address |
219 S Washington St Easton MD 21601-2913 |
Practice Telephone | 4102285511 |
Mailing Telephone | 4108221000 |
Mailing Fax Number | 4108227834 |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |
Authorized Official Name | KENNETH KOZEL (PRESIDENT/CEO) |
Authorized Official Telephone | 4108221000 |
Is Organization Subpart | Y |
Parent Organization Name | SHORE HEALTH SYSTEM, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
Other Name | Type Code |
---|---|
Shore Health Lab-Dorchester | Other Name - Individual/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 |
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 |
1285694091 | Shore Health System, Inc | Psychiatric Unit | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-03-24 |
Street Address |
300 BYRN ST |
City | CAMBRIDGE |
State | MD |
Zip Code | 21613-1908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265414205 | Christine Garey | Anesthesiology | 300 Byrn St, Cambridge, MD 21613-1908 | 2005-11-16 |
1851905491 | Alexa L Burley | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-09-01 |
1548785017 | Leslie Fox | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2017-08-07 |
1821450768 | Jeff Biele | Counselor | 300 Byrn St, Cambridge, MD 21613-1908 | 2016-03-21 |
1225367642 | Michelle Mondal | Physician Assistant | 300 Byrn St, Cambridge, MD 21613-1908 | 2009-12-14 |
1336397942 | April Lyn Motovidlak | Clinical Nurse Specialist | 300 Byrn St, Cambridge, MD 21613-1908 | 2008-09-08 |
1326106121 | Stephen C Andrews | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-12-05 |
1144393844 | Elena Tilly | Internal Medicine | 300 Byrn St, Dorchester General Hospital, Cambridge, MD 21613-1908 | 2006-11-17 |
1164435830 | Frederick V Bauer | Emergency Medicine | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-08-14 |
1437170115 | Mark David Deguzman | Emergency Medicine | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
Find all providers in zip 21613 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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1881810703 | Harvard Partners Center for Genetics and Genomics | Clinical Medical Laboratory | 65 Landsdowne Street, Cambridge, MA 02139 | 2007-04-18 |
1821153156 | Center for Human Genetics, Inc | Clinical Medical Laboratory | 840 Memorial Dr., Suite 101, Cambridge, MA 02139 | 2006-12-27 |
1861495376 | Pathology Services Inc | Clinical Medical Laboratory | 640 Memorial Dr, Cambridge, MA 02139-4853 | 2005-05-31 |
1720688054 | Foundation Medicine, Inc. | Clinical Medical Laboratory | 150 2nd St, Cambridge, MA 02141-2115 | 2020-10-27 |
1366068454 | Give Legacy, Inc. | Clinical Medical Laboratory | 19 Garden St, Cambridge, MA 02138-3622 | 2020-06-24 |
1386148971 | Centogene Us LLC | Clinical Medical Laboratory | 99 Erie St, Cambridge, MA 02139-4559 | 2018-03-20 |
1598158248 | Claritas Genomics, Inc | Clinical Medical Laboratory | 99 Erie St, Suite A, Cambridge, MA 02139-4559 | 2015-03-05 |
1043631377 | Metamark Genetics, Inc | Clinical Medical Laboratory | 245 First St, Suite 150, Cambridge, MA 02142-1200 | 2014-01-06 |
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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.