KENNETH ALAN SHORE (NPI# 1114960606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114960606 |
| Entity Type | Individual |
| Full Name | KENNETH ALAN SHORE |
| Credential | M.D. |
| Practice Address |
5501 Independence Pkwy Ste 110 Plano TX 75023-5472 |
| Practice Telephone | 9725961747 |
| Practice Fax Number | 9729859775 |
| Mailing Telephone | 9725961747 |
| Mailing Fax Number | 9729859775 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G6231 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 098591301 | 05 | |
| TX | 098591303 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871762641 | Kenneth Louis Shore | Social Worker | 4112 Blue Ridge Road, 2nd Floor, Raleigh, NC 27612-4652 | 2008-02-26 |
| Street Address |
5501 INDEPENDENCE PKWY STE 110 |
| City | PLANO |
| State | TX |
| Zip Code | 75023-5472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316934862 | Neepa Rajnikant Shah | Internal Medicine | 5501 Independence Pkwy Ste 110, Plano, TX 75023-5472 | 2005-09-30 |
| 1376904607 | Melissa Ana Alhezayen | Nurse Practitioner | 5501 Independence Pkwy Ste 110, Plano, TX 75023-5472 | 2016-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854116 | Vanessa C Eldridge | Registered Nurse | 1008 Lockhart Dr, Plano, TX 75023 | 2020-06-05 |
| 1750935573 | Asistencia En Casa Therapy Service, Inc. | Nursing Care | 1225 Glyndon Dr., Plano, TX 75023 | 2019-07-30 |
| 1215420567 | Vera Ngozi Anyirah | Registered Nurse | 3412 Grenoble Court, Plano, TX 75023 | 2018-06-12 |
| 1043740004 | Varun Joseph | Dentist | 3405 Silverstone Dr Ste 100, Plano, TX 75023 | 2017-06-13 |
| 1902330384 | Applegate Health Services, Inc | Clinic/Center | 3303 N. Central Expressway, Suite 210, Plano, TX 75023 | 2017-04-12 |
| 1821529603 | Emerson Speech and Consulting | Speech-Language Pathologist | 6565 Independence Pkwy, Plano, TX 75023 | 2017-03-23 |
| 1033502018 | Marquis Hines | Occupational Therapy Assistant | 701 Legacy Dr Apt 1224, Plano, TX 75023 | 2015-03-14 |
| 1811386303 | Gn Medical Center, Inc. | Clinic/Center | 3415 Custer Rd., Ste 100, Plano, TX 75023 | 2015-01-21 |
| 1568850899 | Parvaneh Yancheshmeh Azimi | Nurse Practitioner | 2045 Hawken Dr, Plano, TX 75023 | 2015-01-09 |
| 1568866358 | Byungwon Choi | Chiropractor | 2050 W. Spring Creek Pkwy Suite 208, Plano, TX 75023 | 2014-10-22 |
| Find all providers in zip 75023 | ||||
| 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 |
|---|---|---|---|---|
| 1902399926 | Your Health Diagnostics LLC | Internal Medicine | 5228 Village Creek Dr Ste 101, Plano, TX 75093-4431 | 2018-06-13 |
| 1821543208 | Vitality Weight Loss and Wellness Institute, Pllc | Internal Medicine | 2633 Dallas Pkwy # 100, Plano, TX 75093-4703 | 2016-08-16 |
| 1609230812 | Ebony N. Raymond | Internal Medicine | 3105 W 15th St Ste E, Plano, TX 75075 | 2016-04-13 |
| 1386008167 | Love Wounds | Internal Medicine | 4416 Jenkins Dr, Plano, TX 75024-4817 | 2016-04-07 |
| 1578942546 | Omniphysicians, Pllc | Internal Medicine | 3000 Custer Rd Ste 270-507, Plano, TX 75075-4422 | 2015-05-24 |
| 1285022491 | Slalani Medico Service Pllc | Internal Medicine | 3408 Westwind Dr, Plano, TX 75093-7987 | 2014-12-23 |
| 1689062879 | Lone Medical Mht LLC | Internal Medicine | 1925 Edgewater Dr, Plano, TX 75075-8573 | 2014-12-23 |
| 1700283280 | Texas On Call Physicians PC | Internal Medicine | 3213 Twinfalls Dr, Plano, TX 75093-3331 | 2014-11-26 |
| 1487066114 | Pablo Andres Wunderlich Padilla | Internal Medicine | 4700 Alliance Blvd Ste 100, Plano, TX 75093-5323 | 2014-05-29 |
| 1629496336 | Tawfik A. Shabana | Internal Medicine | 4317 High Mesa Dr, Plano, TX 75093 | 2014-03-31 |
| Find all providers in PLANO | ||||
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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.