DR. BENJAMIN JOEL SHORE (NPI# 1992027213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992027213 |
Entity Type | Individual |
Full Name | DR. BENJAMIN JOEL SHORE |
Credential | M.D. |
Practice Address |
300 Longwood Ave Department of Orthopedic Surgery - Hunnewell 221 Boston MA 02115-5724 |
Practice Telephone | 6173556808 |
Practice Fax Number | 6177300465 |
Mailing Telephone | 6173556808 |
Mailing Fax Number | 6177300465 |
Enumeration Date | 2010-03-01 |
Last Update Date | 2013-02-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 243828 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | CERTIFICATE OF LIMITED REGISTRATION | 239359 | 01 |
MA | MASS LICENCE | 243828 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902339013 | Benjamin Shore | Student in an Organized Health Care Education/Training Program | 515 Fireside Ln, Cherry Hill, NJ 08003-3419 | 2017-04-05 |
1619142957 | Benjamin Mark Shore | Emergency Medicine | 2532 Regatta Ave, Sunset Island 2, Miami Beach, FL 33140-4235 | 2008-04-28 |
1922353176 | Benjamin Shore | Social Worker | 301 Broadway, Chelsea, MA 02150-2807 | 2012-07-13 |
Street Address |
300 LONGWOOD AVE DEPARTMENT OF ORTHOPEDIC SURGERY - HUNNEWELL 221 |
City | BOSTON |
State | MA |
Zip Code | 02115-5724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588667539 | Barry Grant Zallen | Pediatrics | 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 | 2005-05-23 |
1730780669 | Hannah Fraser | Registered Nurse | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-06 |
1164023776 | Hannah Brewer | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-02 |
1104423680 | Justin Matthias Hintze | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-10-07 |
1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
1144835224 | Abby Elizabeth Bandi | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
1558976845 | Hilary Segar Garber | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-13 |
1063026003 | Lauren M Dilullo | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-08 |
1013521004 | Carl Britto | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5737 | 2020-09-07 |
1760096887 | Rebecca Marie Leslie | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
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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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
1871159848 | Andrew Moon | Orthopaedic Surgery | 45 Stuart St Apt 2117, Boston, MA 02116-4769 | 2019-05-15 |
1871070144 | Giuseppe Orlando | Orthopaedic Surgery | 850 Harrison Avenue, Dowling 2 North Bme, Boston, MA 02118 | 2018-07-19 |
1982134946 | Andrew Daniels Hagar | Orthopaedic Surgery | 800 Washtington Street, Boston, MA 02111 | 2017-06-13 |
1124479019 | Jeffrey M Potter | Orthopaedic Surgery | 55 Fruit Street, Yawkey 3c, Massachusetts General Hospital, Boston, MA 02114 | 2016-06-22 |
1841676905 | Boston Orthopaedic Urgent Care, LLC | Orthopaedic Surgery | 23 Ridgeway Ln, Boston, MA 02114-4206 | 2015-07-30 |
1063823755 | Alfred Pisano | Orthopaedic Surgery | 55 Fruit St Bldg 3550, Boston, MA 02114-2621 | 2014-05-15 |
1073952859 | Gregory Gasbarro | Orthopaedic Surgery | 55 Fruit St Ste 3g3200, Boston, MA 02114-2621 | 2013-06-14 |
1154663607 | Sean Patrick Kelly | Orthopaedic Surgery | 55 Fruit St # 125n-260, Boston, MA 02114 | 2013-03-22 |
1528334828 | Harold August Fogel | Orthopaedic Surgery | 55 Fruit St Ste 3800-3a, Boston, MA 02114-2621 | 2012-03-30 |
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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.