STEPHEN A SHORE (NPI# 1336235183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336235183 |
| Entity Type | Individual |
| Full Name | STEPHEN A SHORE |
| Credential | M.D. |
| Practice Address |
30 Lawrence Rd Suite 201 Broomall PA 19008-3301 |
| Practice Telephone | 6104925900 |
| Practice Fax Number | 6104925903 |
| Mailing Telephone | 6104925900 |
| Mailing Fax Number | 6104925903 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD041618L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA HMO | 2275778 | 01 | |
| PA | BLUE SHIELD | SH609602 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003876103 | Stephen R Shore | Internal Medicine | 1901 Hamilton St Ste 300, Allentown, PA 18104-6461 | 2006-03-24 |
| 1457491623 | Stephen Irwin Shore | Dentist | 14 W Neck Rd, Huntington, NY 11743-2619 | 2007-02-07 |
| Street Address |
30 LAWRENCE RD SUITE 201 |
| City | BROOMALL |
| State | PA |
| Zip Code | 19008-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265820 | Consultants In Medical Oncology & Hematology, PC | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-05-23 |
| 1366980179 | Catherine Heagy | Nurse Practitioner | 30 Lawrence Rd, Suite 200, Broomall, PA 19008-3301 | 2017-02-01 |
| 1700274131 | Marybeth Kushnir | Nurse Practitioner | 30 Lawrence Rd, Suite 100, Broomall, PA 19008-3301 | 2015-01-08 |
| 1174755797 | Rachel Shimko | Physical Therapist | 30 Lawrence Rd, Suite 900, Broomall, PA 19008-3301 | 2009-08-15 |
| 1487819769 | John D. Sprandio Jr. | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2008-07-25 |
| 1699949040 | Rajesh Thirumaran | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2008-04-16 |
| 1427250117 | Regina D Poole | Nurse Practitioner | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2007-06-04 |
| 1285848853 | Joann A Flounders | Nurse Practitioner | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2007-05-10 |
| 1043384035 | Michael M Mikhail | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-11-20 |
| 1609899418 | Nabila Chowdhury | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098964 | Ashley Szewczuk | Occupational Therapy Assistant | 50 Malin Rd., Broomall, PA 19008 | 2019-02-06 |
| 1134647316 | Bernadette Jacobs | Registered Nurse | Accucare Home Nursing 1999 Sproul Rd, # 1, Broomall, PA 19008 | 2017-09-07 |
| 1447780549 | Laura Ann Jamison | Physical Therapy Assistant | 50 North Malin Road, Broomall, PA 19008 | 2017-06-13 |
| 1528596608 | Lauren S. Burns | Occupational Therapist | 51 N Malin Rd., Broomall, PA 19008 | 2017-06-01 |
| 1558893024 | Marc Belitsky D.c., .pc. | Clinic/Center | 2633 West Chester Pike, Broomall, PA 19008 | 2017-04-03 |
| 1053773390 | Helen Richman | Pharmacist | 567 Sproul Road, Broomall, PA 19008 | 2016-03-25 |
| 1487028007 | Jenelle Thomas | Social Worker | 85 N. Malin Road, Broomall, PA 19008 | 2015-11-19 |
| 1649654740 | Akeesha M Washington | Counselor | 600 Abbott Drive, Broomall, PA 19008 | 2015-07-17 |
| 1821411976 | Ketrin Kapllani | Behavioral Analyst | 475 Lawrence, Philadelphia, PA 19008 | 2014-01-27 |
| 1710325741 | Joel Christopher Fusunyan-lee | Registered Nurse | 219 Sussex Blvd, Broomall, PA 19008 | 2013-06-12 |
| Find all providers in zip 19008 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699949040 | Rajesh Thirumaran | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2008-04-16 |
| 1508893926 | Peter D Ennis | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-06-28 |
| 1508801085 | Robert K Roush Jr. | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-06-18 |
| 1144268913 | John D Sprandio | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372286 | Bethanie Jones | Internal Medicine | 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 | 2020-09-26 |
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
| 1831619097 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 100, Lancaster, PA 17603-3372 | 2017-06-20 |
| 1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
| 1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1164841193 | Maria Vershvovsky | Internal Medicine | 440 E Marshall St Ste 101, West Chester, PA 19380-5414 | 2014-04-07 |
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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.