Organization Active NPI

Shore Orthopedics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Queenstown, MD
National Provider Identifier
1801242227
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHORE ORTHOPEDICS, INC
Practice address
125 Shoreway Dr
Suite 270
Queenstown, MD 21658-1680
Phone
(410) 820-8226
Fax
(410) 820-8405
NPI assigned
May 5, 2016
Last updated
Jul 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SHORE HEALTH SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Thomas E Stauch, M.D.NPI 1366445942
Title
President
Phone
(410) 820-8226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

125 Shoreway Dr
Suite 270
Queenstown, MD 21658-1680

Mailing address

510 Idlewild Ave
Easton, MD 21601-3881
Phone (410) 820-8226

National Provider Directory

National Provider Directory
Part of
Shore Gynecology

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1801242227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013881",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SHOREWAY DR",
            "address_2": "SUITE 270",
            "city": "QUEENSTOWN",
            "state": "MD",
            "postal_code": "216581680",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ORTHOPEDICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORE HEALTH SYSTEMS",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "STAUCH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-820-8226",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queenstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.