NPIMap

Organization Active NPI

Shore Health Services, Inc

Doing business as Riverside Shore Surgical Associates

  • Surgery Physician
  • Nassawadox, VA
National Provider Identifier
1609990308
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SHORE HEALTH SERVICES, INC
Doing business as
Riverside Shore Surgical Associates
Practice address
10111 Rogers Drive
Nassawadox, VA 23413
Phone
(757) 414-8490
Fax
(757) 414-8560
NPI assigned
Mar 19, 2007
Last updated
Dec 30, 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 Dec 30, 2009

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

Authorized official

Name
Joseph Zager
Title
Billing Manager
Phone
(757) 414-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

10111 Rogers Drive
Nassawadox, VA 23413

Mailing address

PO Box 979
Nassawadox, VA 23413-0979
Phone (757) 414-8490

Other names 1

  • Riverside Shore Surgical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Northampton-Acco Mem Hoipl

Practitioners & affiliated clinicians

Practitioners 5

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1609990308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 979",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "234130979",
            "telephone_number": "757-414-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 ROGERS DRIVE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "23413",
            "telephone_number": "757-414-8490",
            "fax_number": "757-414-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORE HEALTH SERVICES, INC",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "ZAGER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "757-414-8054"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Shore Surgical Associates",
            "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 Dec 30, 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.