NPIMap

Organization Active NPI

Shore Health Services, Inc

Doing business as Riverside Shore Physicians

  • Family Medicine Physician
  • Nassawadox, VA
National Provider Identifier
1346564697
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHORE HEALTH SERVICES, INC
Doing business as
Riverside Shore Physicians
Practice address
9507 Hospital Ave
Nassawadox, VA 23413-0718
Phone
(757) 414-8054
Fax
(757) 414-8055
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Joseph P Zager
Title
VP/Administrator
Phone
(757) 414-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9507 Hospital Ave
Nassawadox, VA 23413-0718

Mailing address

PO Box 718
Nassawadox, VA 23413-0718
Phone (757) 414-8054

Other names 1

  • Riverside Shore Physicians Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1346564697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "234130718",
            "telephone_number": "757-414-8054",
            "fax_number": "757-414-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 HOSPITAL AVE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "234130718",
            "telephone_number": "757-414-8054",
            "fax_number": "757-414-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "ZAGER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP/ADMINISTRATOR",
        "authorized_official_telephone_number": "757-414-8000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Shore Physicians",
            "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 Mar 16, 2010; 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.