SHORE HEALTH SERVICES, INC (NPI# 1811219751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811219751 |
Entity Type | Organization |
Organization Name | SHORE HEALTH SERVICES, INC |
Other Organization Name | RIVERSIDE SHORE DIABETES CENTER |
Practice Address |
9507 Hospital Ave Nassawadox VA 23413-0017 |
Mailing Address |
Po Box 706 Nassawadox VA 23413-0706 |
Practice Telephone | 7574148054 |
Mailing Telephone | 7574148054 |
Enumeration Date | 2010-02-19 |
Last Update Date | 2010-02-19 |
Authorized Official Name | JOSEPH ZAGER (ADMINISTRATOR/VP) |
Authorized Official Telephone | 7574148765 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Riverside Shore Diabetes Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114315447 | Shore Health Services, Inc | Hospice Care, Community Based | 25379 Lankford Highway, Suite A, Onley, VA 23418 | 2015-01-09 |
1609990308 | Shore Health Services, Inc | Surgery | 10111 Rogers Drive, Nassawadox, VA 23413 | 2007-03-19 |
1053360529 | Shore Health Services, Inc | Home Health | 25379 Lankford Hwy, Suite B, Onley, VA 23418 | 2006-05-10 |
1982925640 | Shore Health Services, Inc | Anesthesiology | 9507 Hospital Avenue, Nassawadox, VA 23413-0736 | 2010-06-17 |
1336468727 | Shore Health Services, Inc | Counselor | 23379 Commerce Dr, Accomac, VA 23301-1314 | 2010-05-25 |
1346564697 | Shore Health Services, Inc | Family Medicine | 9507 Hospital Ave, Nassawadox, VA 23413-0718 | 2010-03-16 |
1326288069 | Shore Health Services, Inc | Internal Medicine | 9524 Hospital Avenue, Nassawadox, VA 23413 | 2009-02-20 |
1043432610 | Shore Health Services, Inc | Emergency Medicine | 9507 Hospital Ave, Nassawadox, VA 23413 | 2007-05-03 |
1427003185 | Shore Health Services, Inc | Clinic/Center | 17385 Lankford Hwy, Parksley, VA 23421 | 2006-05-23 |
Street Address |
9507 HOSPITAL AVE |
City | NASSAWADOX |
State | VA |
Zip Code | 23413-0017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588655302 | James Kaye | Specialist | 9507 Hospital Ave, Nassawadox, VA 23413 | 2005-11-01 |
1174883474 | Sentara Medical Group | Internal Medicine | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2012-05-21 |
1447556097 | Riverside Physician Services Inc | Internal Medicine | 9507 Hospital Ave, 3rd Floor, Nassawadox, VA 23413 | 2011-01-31 |
1346564697 | Shore Health Services, Inc | Family Medicine | 9507 Hospital Ave, Nassawadox, VA 23413-0718 | 2010-03-16 |
1922202340 | Rebecca Laura Downey | Anesthesiology | 9507 Hospital Ave, Nassawadox, VA 23413-0017 | 2007-06-11 |
1043432610 | Shore Health Services, Inc | Emergency Medicine | 9507 Hospital Ave, Nassawadox, VA 23413 | 2007-05-03 |
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 |
1659440006 | Shirley M. Randall Inc | Anesthesiology | 9507 Hospital Ave, Nassawadox, VA 23413 | 2006-11-07 |
Find all providers in the same location |
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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.