SHORE ORTHOPEDICS, INC (NPI# 1205290541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205290541 |
| 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 | 2016-04-13 |
| 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 |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST | CF17 | 01 |
| MD | 8100314-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801242227 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2016-05-05 |
| 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 |
| 1801242227 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2016-05-05 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
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| 1407478332 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 550 Ritchie Hwy Ste K, Severna Park, MD 21146-2953 | 2020-05-14 |
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1659910628 | Leah Corder | Orthopaedic Surgery | 1710 Roland Ave, Towson, MD 21204-3527 | 2019-12-23 |
| 1518504752 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | 12020 Wetherfield Ln, Potomac, MD 20854-1111 | 2019-12-06 |
| 1588207757 | Regenmd LLC | Orthopaedic Surgery | 7811 Montrose Rd Ste 330, Potomac, MD 20854-3363 | 2019-10-21 |
| 1942842307 | Christopher Caulfield | Orthopaedic Surgery | 508 Pafel Rd, Annapolis, MD 21401-1002 | 2019-10-16 |
| 1801454665 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 8109 Ritchie Hwy Ste 200, Pasadena, MD 21122-6917 | 2019-06-05 |
| 1578121323 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 1106 Annapolis Rd Ste 130, Odenton, MD 21113-1739 | 2019-06-05 |
| 1740754001 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14090 Hg Trueman Rd Ste 1100, Solomons, MD 20688 | 2019-01-18 |
| Find all providers with the same taxonomy | ||||
| City | QUEENSTOWN |
| Zip Code | 21658 |
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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.