Eric Eugene Shore, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS-003157-L Issued in PA

Practice address

3939 Conshohocken Ave
Philadelphia, PA 19131-5400

Phone

(215) 877-7400

Fax

(215) 877-7479

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nancy J Pickering

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1669563664
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750387601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W DARTMOUTH RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042520",
            "telephone_number": "610-664-4182",
            "fax_number": "610-664-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 CONSHOHOCKEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315400",
            "telephone_number": "215-877-7400",
            "fax_number": "215-877-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "ERIC",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-003157-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0830344",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Shoop
• Jamie Novak Shoop, PHD
• Stefanie S Shopa, PA-C
• Glenn Shopper, MD
• Blake Shore
• Jessica Nicole Shore, PSY.D.
• Mira B Shore, PSYD.
• Nicole Shore
• Paul Michael Shore, MD
• Tara Shores, PA-S

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.