Matthewjshoredopc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

OS-007633-L Issued in PA

Legal business name

MATTHEWJSHOREDOPC

Practice address

401 Township Line Rd
Elkins Park, PA 19027-2202

Phone

(215) 663-8600

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Shore, D.O.NPI 1497803514

Title

Physician

Phone

(215) 663-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Shore, D.O.

  • Family Medicine Physician
  • Elkins Park, PA
  • NPI 1497803514
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336286996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TOWNSHIP LINE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272202",
            "telephone_number": "215-663-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TOWNSHIP LINE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272202",
            "telephone_number": "215-663-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWJSHOREDOPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-663-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "OS-007633-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalil Martin, LSW
• Suzanne Elizabeth Martorella, M.ED.
• Rebecca Marx, BIRTH DOULA
• Angel Massey, REGISTERED NURSE
• Neville Poozhikunnel Mathews, DO
• Tiffany Nicole Matthews, BCPA, BSW
• Warren Bruce Matthews, M.D.
• Mattia Chiropratic PC
• Celeste Anne Mattia, D.C.
• Ellen Horowitz Matz, LMSW

• Health Service Clinic/Center in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Health Service Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.