NPIMap

Organization Active NPI

Shore Orthopedics, Inc

  • Orthopaedic Surgery Physician
  • Easton, MD
National Provider Identifier
1245694520
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SHORE ORTHOPEDICS, INC
Practice address
510 Idlewild Ave
Easton, MD 21601-3881
Phone
(410) 820-8226
Fax
(410) 820-8405
NPI assigned
Apr 12, 2016
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SHORE HEALTH SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason J Jancosko, D.O.NPI 1992939151
Title
President
Phone
(410) 820-8226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

510 Idlewild Ave
Easton, MD 21601-3881

Mailing address

510 Idlewild Ave
Easton, MD 21601-3881
Phone (410) 820-8226

Other identifiers 2

IdentifierTypeStateIssuer
8740763-00MedicaidMD
CF17OtherMDCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160512000121 MD Part B Supplier - Clinic/Group Practice 8628367885 Receives reassigned benefits from 39 practitioners
1 other NPI on this enrollment
Practice locations: Easton, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Shore Gynecology

Locations

510 Idlewild Ave
Ste 200
Easton, MD 21601
Phone (410) 820-8226

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1245694520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013881",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013881",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ORTHOPEDICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORE HEALTH SYSTEMS",
        "enumeration_date": "2016-04-12",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "JANCOSKO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-820-8226",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8740763-00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "CF17",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.