Shoreline Primary Care and Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHORELINE PRIMARY CARE AND WELLNESS

Practice address

1302 Woodland Rd
Salisbury, MD 21801-6735

Phone

(443) 366-5215

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Melissa K Emmerich

Title

Owner

Phone

(443) 366-5215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1770317182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 OLD BRIDGE RD APT 3",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429785",
            "telephone_number": "443-366-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 WOODLAND RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016735",
            "telephone_number": "443-366-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE PRIMARY CARE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "EMMERICH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-366-5215"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meisha Shockley
• Reginald Harrison Shockley Sr., LCSW-C
• Shore Serenity Counseling & Wellness
• Shore Up Inc (Shady Pines Adult Day Services)
• Shore Up Inc.
• Alyssa Lauren Shores, LCSW-C
• Laurie Ann Short, PTA
• Mackenzie Taylor Short, OTR
• Crystal Showell, DR
• Ajit Shrestha, M.D.

• Family Medicine Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.