SHORE HEALTH SYSTEM, INC (NPI# 1710283569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710283569 |
| Entity Type | Organization |
| Organization Name | SHORE HEALTH SYSTEM, INC |
| Practice Address |
509 Idlewild Ave Easton MD 21601-3889 |
| Mailing Address |
219 S Washington St Easton MD 21601-2913 |
| Practice Telephone | 4108221000 |
| Practice Fax Number | 4107638279 |
| Mailing Telephone | 4108221000 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MR. KENNETH D KOZEL (PRESIDENT/CEO) |
| Authorized Official Telephone | 4108221000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286401 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct Ste 100, Easton, MD 21601-4095 | 2017-10-19 |
| 1659899763 | Shore Health System, Inc | Clinic/Center | 1140 Blades Farm Road, Ste 102, Denton, MD 21629-3459 | 2017-09-08 |
| 1477513273 | Shore Health System, Inc | Clinical Medical Laboratory | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| 1770184558 | Shore Health System, Inc | Clinical Medical Laboratory | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-11-06 |
| 1396366845 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-4095 | 2020-05-06 |
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| 1790860237 | Shore Health System, Inc | Dietitian, Registered | 219 S Washington St, Easton, MD 21601-2913 | 2006-10-25 |
| 1447210463 | Shore Health System, Inc | Clinic/Center | 10 Martin Ct, Easton, MD 21601-3833 | 2006-03-24 |
| 1396705182 | Shore Health System, Inc | Skilled Nursing Facility | 219 S Washington St, Easton, MD 21601-2913 | 2006-03-24 |
| 1285694091 | Shore Health System, Inc | Psychiatric Unit | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-03-24 |
| Street Address |
509 IDLEWILD AVE |
| City | EASTON |
| State | MD |
| Zip Code | 21601-3889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518999697 | John Philip Mastandrea | Radiology | 509 Idlewild Ave, Easton, MD 21601-3825 | 2006-07-07 |
| 1831553585 | Margaret Michele Williams | Nurse Practitioner | 509 Idlewild Ave, Easton, MD 21601-3889 | 2016-04-08 |
| 1386832129 | Eastern Shore Radiation Oncology Assoc., P.a. | Radiology | 509 Idlewild Ave, Easton, MD 21601 | 2007-10-05 |
| 1134245004 | Eastern Shore Oncology PC | Internal Medicine | 509 Idlewild Ave, Suite 101, Easton, MD 21601-3889 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386811628 | Bay Hematology Oncology Pa | Clinic/Center | 8221 Teal Dr Ste 301, Easton, MD 21601-7215 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891154100 | Frederick Health Hospital Inc | Clinic/Center | 1562 Opossumtown Pike Ste 101, Frederick, MD 21702-4337 | 2016-02-15 |
| 1548496573 | Alexandra Dos Santos Zimmer | Clinic/Center | 10 Center Dr 10 12n226, Bethesda, MD 20892-0001 | 2009-06-04 |
| 1164590394 | Stanley D. Walker, Md, LLC | Clinic/Center | 3333 N Calvert St Ste 107, Baltimore, MD 21218-6503 | 2006-12-04 |
| 1669911293 | Bay Hematology Oncology, P.a. | Clinic/Center | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-15 |
| 1710335187 | Physicians Rx Pharmacies | Clinic/Center | 7525 Greenway Center Drive, Suite 202, Greenbelt, MD 20770 | 2016-05-26 |
| 1871788430 | Oral Medicine Consultants | Clinic/Center | 650 W Baltimore St, Room 7251, Baltimore, MD 21201-1510 | 2007-09-07 |
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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.