DR. NEIL S. SHORE (NPI# 1346243698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346243698 |
| Entity Type | Individual |
| Full Name | DR. NEIL S. SHORE |
| Credential | MD |
| Practice Address |
55 Highland Ave Ste 104 Salem MA 01970-2100 |
| Practice Telephone | 9787454489 |
| Practice Fax Number | 9783542085 |
| Mailing Telephone | 9787454489 |
| Mailing Fax Number | 9783542085 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
29592 | MA | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
29592 | MA | Allopathic & Osteopathic Physicians |
| X | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
29592 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2007452 | 05 |
| Street Address |
55 HIGHLAND AVE STE 104 |
| City | SALEM |
| State | MA |
| Zip Code | 01970-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178224 | Jane Paar | Student in an Organized Health Care Education/Training Program | 55 Highland Ave, Salem, MA 01970-2185 | 2020-09-10 |
| 1578173308 | Sadira Persaud | Counselor | 55 Highland Ave, Salem, MA 01970-2185 | 2020-08-06 |
| 1104325422 | Sarah Leva | Social Worker | 55 Highland Ave, Salem, MA 01970-2185 | 2018-02-02 |
| 1275044315 | Mary Kathleen Rand | Nurse Practitioner | 55 Highland Ave, Salem, MA 01970-2185 | 2017-10-17 |
| 1538687868 | Ashlee Helen Goulette | Nurse Practitioner | 55 Highland Ave, Salem, MA 01970-2185 | 2017-09-07 |
| 1134674674 | Julia Moskowitz | Psychologist | 55 Highland Ave, Suite 201, Salem, MA 01970-2185 | 2016-08-24 |
| 1023486990 | Antoine M Salvador | Student in an Organized Health Care Education/Training Program | 55 Highland Ave, Highland Hall, Salem, MA 01970-2185 | 2015-09-09 |
| 1376927772 | Elizabeth Forrest | Psychologist | 55 Highland Ave, Salem, MA 01970-2185 | 2015-07-15 |
| 1326442450 | North Shore Medical Center | Clinic/Center | 55 Highland Ave, Salem, MA 01970-2185 | 2014-10-17 |
| 1174924104 | Chalini Jayasekera | Psychologist | 55 Highland Ave, Salem, MA 01970-2185 | 2014-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1316142425 | Fayez A. Bader | Internal Medicine | 801 Mission St. Se, Salem, OR 97302-6217 | 2007-06-19 |
| 1104875574 | Tala'at Al-shuqairat | Internal Medicine | 555 W Sr 164, Salem, UT 84653-1666 | 2006-05-10 |
| 1932101110 | Philip H. Thielhelm | Internal Medicine | 55 Highland Ave., Suite 104, Salem, MA 01970-2100 | 2005-06-01 |
| 1952885659 | Amy Purkey | Internal Medicine | 890 Oak St Se, Salem, OR 97301-3905 | 2018-09-18 |
| 1992727069 | Maurice E Coffey | Internal Medicine | 1970 Roanoke Blvd, Salem, VA 24153-6478 | 2006-07-24 |
| 1396791505 | Madalina Minciu Macrea | Internal Medicine | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-05-26 |
| 1447240866 | Christopher Wesley Humphreys | Internal Medicine | 55 Highland Ave, Suite 104 (north Shore Pulmonary Associates), Salem, MA 01970-2185 | 2005-10-26 |
| 1639171812 | Peter A. Kirkpatrick | Internal Medicine | 55 Highland Ave., Suite 104, Salem, MA 01970-2100 | 2005-06-01 |
| 1508868761 | Faysal M. Hasan | Internal Medicine | 55 Highland Ave., Suite 104, Salem, MA 01970-2100 | 2005-06-01 |
| 1295737468 | Christine A. Blaski | Internal Medicine | 55 Highland Ave., Suite 104, Salem, MA 01970-2100 | 2005-06-01 |
| Find all providers in SALEM | ||||
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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.