NPIMap

Organization Active NPI

Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
National Provider Identifier
1477513273
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHORE HEALTH SYSTEM, INC
Practice address
10 Martin CT
Easton, MD 21601-3833
Phone
(410) 820-7778
Fax
(410) 820-8862
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Mr. Kenneth Kozel
Title
President/Ceo
Phone
(410) 822-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10 Martin CT
Easton, MD 21601-3833

Mailing address

219 S Washington St
Easton, MD 21601-2913
Phone (410) 822-1000

Other practice location 1

125 Shoreway Dr
Queenstown, MD 21658-1680
Phone (410) 827-3811

Other practice location 2

1140 Blades Farm Rd
Denton, MD 21629-3488
Phone (410) 479-3510

Other practice location 3

713 Cambridge Marketplace Blvd Ste 2300
Cambridge, MD 21613-2563
Phone (443) 225-7515

Other names 1

  • Diagnostic and Imaging Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000602 MD Part A Provider - Hospital 8022906783 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cambridge, MD; Easton, MD; Queenstown, MD

Hospital certification: CCN 210037

Legal name
SHORE HEALTH SYSTEM INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 22, 2010
Beds
189
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 28, 1992 in MD
Enrollment address
219 S Washington St
Easton, MD 21601-2913
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation unit

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

500 Cadmus Ln
Easton, MD 21601
Phone (410) 820-4880

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Talli Oxnam Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024
Pamela Kasemeyer Individual Corporate Officer Jul 1, 2025
Corporate Director Jul 1, 2025
Thomas B Smyth Individual Corporate OfficerExecutive VP Jan 28, 2026
Corporate Director Jan 28, 2026
Wayne Hockmeyer Individual Corporate Director Jul 1, 2023
Christopher Parry Individual Corporate DirectorBoard Member Jul 1, 2021
Michael Molino Individual Corporate Officer Jul 1, 2025
Corporate Director Jul 1, 2025
Arthur Cecil Individual Corporate DirectorBoard Member Jul 1, 2015 100%
Tom D Seip Individual Corporate DirectorBoard Member Jan 1, 2020
Kim R Herman Individual Corporate DirectorBoard Member Aug 1, 2022
Milton Nagel Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024
David Milligan Individual Corporate Officer Jul 1, 2013
Corporate Director Jul 1, 2013
Valerie S Overton Individual Corporate Director Jul 1, 2023
Kenneth Kozel Individual Corporate OfficerPresident & Ceo Oct 1, 2011 100%
W-2 Managing EmployeePresident & Ceo Oct 1, 2011 100%
Keith McMahan Individual Corporate DirectorBoard Member Jul 1, 2008 100%
Garret Falcone Individual Corporate DirectorBoard Member Jul 1, 2021
Charles Capute Individual Corporate DirectorBoard Member Jul 1, 2014 100%
Kevin Morgan Individual Corporate Officer Jul 4, 2025
Corporate Director Jul 4, 2025
Lou S Satchell Individual Corporate DirectorBoard Member Oct 1, 2017
John Ashworth Individual Corporate DirectorBoard Member Jul 1, 2011 100%
Kristin J Bryce Individual Corporate DirectorBoard Member Aug 1, 2022
University of Maryland Medical System Corporation Organization, Baltimore, MD Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2006 100%
Paul S Nicholson Individual Corporate OfficerSr VP, Cfo Nov 11, 2023
Corporate DirectorSr VP, Cfo Nov 11, 2023
Luann Brady Individual Corporate Officer Feb 22, 2023
Corporate Director Feb 22, 2023
Eugene Newmier Individual Corporate Director Aug 1, 2018
Marlene Feldman Individual Corporate Director Jul 1, 2023
Aaron Gabrielian Individual Corporate Officer Jul 1, 2025
Corporate Director Jul 1, 2025
Christopher L Runz Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024
Kenny Kreiser Individual Corporate Director Aug 1, 2022
Chrissy Helfenbein Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners 1

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

Affiliated clinicians 790

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 790

Care Compare: Hospital

Medicare Care Compare
Listed as
University of MD Shore Medical Center at EastonCCN 210037
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2035845Diagnostic and Imaging Center10 Martin Court, Easton, MD 21601Certificate of waiverAug 15, 2026
21D2130273Umcmg Womens Health Gynecology Cambridge713 Cambridge Marketplace Suite 2-700, Cambridge, MD 21613Provider-performed microscopyMay 4, 2027

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1477513273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "410-822-1000",
            "fax_number": "410-770-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARTIN CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013833",
            "telephone_number": "410-820-7778",
            "fax_number": "410-820-8862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Shoreway Dr",
            "address_purpose": "LOCATION",
            "city": "Queenstown",
            "state": "MD",
            "postal_code": "216581680",
            "country_code": "US",
            "telephone_number": "410-827-3811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 Blades Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "MD",
            "postal_code": "216293488",
            "country_code": "US",
            "telephone_number": "410-479-3510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Cambridge Marketplace Blvd Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "216132563",
            "country_code": "US",
            "telephone_number": "443-225-7515",
            "fax_number": "443-225-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORE HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "KOZEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-822-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic and Imaging Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Diagnostic and Imaging Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.