SHORE ORTHOPEDICS, INC (NPI# 1801242227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801242227 |
| Entity Type | Organization |
| Organization Name | SHORE ORTHOPEDICS, INC |
| Practice Address |
125 Shoreway Dr Suite 270 Queenstown MD 21658-1680 |
| Mailing Address |
510 Idlewild Ave Easton MD 21601-3881 |
| Practice Telephone | 4108208226 |
| Practice Fax Number | 4108208405 |
| Mailing Telephone | 4108208226 |
| Mailing Fax Number | 4108208405 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | THOMAS E STAUCH (PRESIDENT) |
| Authorized Official Telephone | 4108208226 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SHORE HEALTH SYSTEMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205290541 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2016-04-13 |
| 1245694520 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 510 Idlewild Ave, Easton, MD 21601-3881 | 2016-04-12 |
| Street Address |
125 SHOREWAY DR SUITE 270 |
| City | QUEENSTOWN |
| State | MD |
| Zip Code | 21658-1680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618755 | Elizabeth Louise Schilling | Nurse Practitioner | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1680 | 2005-06-09 |
| 1417433285 | Jean Elizabeth Jauregui | Nurse Practitioner | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2018-07-16 |
| 1225554603 | Mary Schmitt King | Dietitian, Registered | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2017-08-17 |
| 1205290541 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2016-04-13 |
| 1174942635 | University of Maryland Shore Surgery Center At Queenstown, LLC | Clinic/Center | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2014-04-14 |
| 1871844803 | Delmarva Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2012-10-01 |
| 1699025072 | Delmarva Orthopaedic Clinic, P.a. | Physical Medicine & Rehabilitation | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2012-09-13 |
| 1053685057 | Shore Health System Sleep Center | Clinic/Center | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2012-03-08 |
| 1518959261 | Clare A. Ross | Nurse Practitioner | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1666 | 2005-08-18 |
| 1336140748 | Daniel Jay Konick | Internal Medicine | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1666 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306916 | Andrea Lynn Shafer | Nurse Practitioner | Maryland Primary Care Physicians 125 Shoreway Dr, Ste 120, Queenstown, MD 21658 | 2019-06-25 |
| 1710206321 | Daniel Lamphier | Family Medicine | 125 Shoreway Dr Ste 120, Queenstown, MD 21658 | 2010-05-21 |
| 1881757052 | Queenstown Volunteer Fire Company | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2006-12-19 |
| 1457459216 | Kathleen Stephanie Van Fossen | Social Worker | 206 Del Rhodes, Ste 203, Queenstown, MD 21658 | 2006-09-20 |
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| 1730440165 | Bethany Lynn Berger | Nurse Practitioner | 125 Shoreway Drive, Suite 120, Queenstown, MD 21658 | 2012-06-01 |
| 1265579353 | Queenstown Volunteer Fire | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2007-01-30 |
| 1619075496 | Sallie Miller | Social Worker | 206 Del Rhodes, Suite 203, Queenstown, MD 21658 | 2006-09-20 |
| 1568581957 | Nicole Williams | Speech-Language Pathologist | 6923 Main St, Queenstown, MD 21658-1219 | 2007-03-28 |
| 1437123999 | Justin Scott Marlett | Specialist | 223 Melvin Ave, Queenstown, MD 21658-1237 | 2006-02-13 |
| Find all providers in zip 21658 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205290541 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2016-04-13 |
| 1871844803 | Delmarva Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669652 | The Grab Bar, LLC | Durable Medical Equipment & Medical Supplies | 11 Huntington Pl, Bel Air, MD 21014-5307 | 2020-11-04 |
| 1659971711 | Montpelier Family Dentistry LLC | Durable Medical Equipment & Medical Supplies | 14502 Greenview Dr Ste 100, Laurel, MD 20708-3221 | 2020-10-28 |
| 1316546021 | Medibuy Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 12826 Forest Creek Ct, Sykesville, MD 21784-5526 | 2020-10-22 |
| 1295334571 | Coastline Medical LLC | Durable Medical Equipment & Medical Supplies | 9928 Old Ocean City Blvd Ste 10, Berlin, MD 21811-1170 | 2020-10-19 |
| 1013515154 | Ls Creative Agency LLC | Durable Medical Equipment & Medical Supplies | 1153 Route 3 North, Suite 10, Gambrills, MD 21054 | 2020-10-12 |
| 1487261202 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4601 Presidents Dr Ste 320, Lanham, MD 20706-4833 | 2020-09-25 |
| 1588278469 | Js Medical | Durable Medical Equipment & Medical Supplies | 3304 Mount Airy Ct, Davidsonville, MD 21035-2209 | 2020-09-08 |
| 1083228373 | Js Products, LLC | Durable Medical Equipment & Medical Supplies | 11118 Reynolds Rd, Kingsville, MD 21087-1939 | 2020-09-03 |
| 1356953319 | Med-care Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1406b Crain Hwy S Ste 205, Glen Burnie, MD 21061-4336 | 2020-08-20 |
| 1467063537 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 1800 Rockville Pike Ste S, Rockville, MD 20852-1604 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSTOWN |
| Zip Code | 21658 |
Please comment or provide details below to improve the information on SHORE ORTHOPEDICS, 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.