Organization Active NPI

Mid-Shore Women'S Health, LLC

  • Gynecology Physician
  • Easton, MD
National Provider Identifier
1679504146
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
MID-SHORE WOMEN'S HEALTH, LLC
Practice address
403 Purdy St
Suite 201
Easton, MD 21601-4059
Phone
(410) 822-3246
Fax
(410) 822-0633
NPI assigned
Jul 5, 2006
Organization subpart
Yes
Parent organization
MID-SHORE WOMEN'S HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Sharon Liu, D.O.
Title
Physician
Phone
(410) 822-3246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

403 Purdy St
Suite 201
Easton, MD 21601-4059

Mailing address

403 Purdy St
Suite 201
Easton, MD 21601-4059
Phone (410) 822-3246

Other identifiers 1

IdentifierTypeStateIssuer
406043100MedicaidMD

National Provider Directory

National Provider Directory
Part of
Mid-Shore Women'S Health LLC

Locations

401 Purdy St
Ste 201
Easton, MD 21601
Phone (410) 822-3246

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1679504146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PURDY ST",
            "address_2": "SUITE 201",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014059",
            "telephone_number": "410-822-3246",
            "fax_number": "410-822-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PURDY ST",
            "address_2": "SUITE 201",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014059",
            "telephone_number": "410-822-3246",
            "fax_number": "410-822-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SHORE WOMEN'S HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-SHORE WOMEN'S HEALTH, LLC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-822-3246",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406043100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.