Dr. Shirah Shore

MD | Pediatric Cardiology | Female

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Complete Profile:

Dr. Shirah Shore basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Shirah Shore
Credential :	MD
Gender :	Female

Business Address:

Dr. Shirah Shore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	100 N Academy Ave Danville, PA, 17822-1339 United States
Phone Number :	570-271-6089
Fax Number :	570-271-6002

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1154391019
NPI Entity Type :	Individual
First Enrolment Date :	24 Jan, 2006
Last Updated On :	07 Aug, 2020

Medicare Participation:

Dr. Shirah Shore participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2264432590
Medicare Enrollment ID :	I20101004000133
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	1993
Accepts Medicare?	Yes. Dr. Shirah Shore accepts medicare insurance.

Group Practice Association:

Dr. Shirah Shore is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Shirah Shore is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Geisinger Clinic	5395657001	2843	100 N Academy Ave Danville, PA - 178229800 Ph: 5702716541	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shirah Shore are as mentioned. Primary taxonomy code for Dr. Shirah Shore, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	ME97404	FL
2080P0202X	Pediatrics Pediatric Cardiology	Yes	MD072956L	PA

Legacy Identifiers:

Other legacy medical identifiers of Dr. Shirah Shore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
2772191	MEDICAID	FL

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 N Academy Ave Danville, PA, 17822-4903 United States
Phone Number :	570-271-6144

Business Location:

Patients can refer following map for directions to Dr. Shirah Shore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.