Provider Demographics
NPI:1083668982
Name:SHORE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:SHORE HEALTH SERVICES INC
Other - Org Name:SHORE ORTHOPEDIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-414-8765
Mailing Address - Street 1:PO BOX 803
Mailing Address - Street 2:
Mailing Address - City:NASSAWADOX
Mailing Address - State:VA
Mailing Address - Zip Code:23413-0803
Mailing Address - Country:US
Mailing Address - Phone:757-414-8333
Mailing Address - Fax:757-414-8338
Practice Address - Street 1:9506 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:NASSAWADOX
Practice Address - State:VA
Practice Address - Zip Code:23413
Practice Address - Country:US
Practice Address - Phone:757-414-8333
Practice Address - Fax:757-414-8338
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHORE HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC00228Medicare Oscar/Certification