NPIMap

Organization Active NPI

Shore Health Services, Inc

Doing business as Shore Gastroenterology

  • Gastroenterology Physician
  • Nassawadox, VA
National Provider Identifier
1326288069
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SHORE HEALTH SERVICES, INC
Doing business as
Shore Gastroenterology
Practice address
9524 Hospital Avenue
Nassawadox, VA 23413
Phone
(757) 414-8054
NPI assigned
Feb 20, 2009
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SHORE HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Elizabeth Teasley
Title
Billing Supervisor
Phone
(757) 414-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

9524 Hospital Avenue
Nassawadox, VA 23413

Mailing address

PO Box 811
Nassawadox, VA 23413-0811
Phone (757) 414-8054

Other names 1

  • Shore Gastroenterology Doing business as

National Provider Directory

National Provider Directory
Part of
Eastern Shore ENT

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1326288069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "234130811",
            "telephone_number": "757-414-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 HOSPITAL AVENUE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "23413",
            "telephone_number": "757-414-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORE HEALTH SERVICES, INC",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "TEASLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "757-414-8054"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nassawadox, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.