RIVERSIDE SHORE DIABETES CENTER – NPI #1811219751
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

RIVERSIDE SHORE DIABETES CENTER is a provider located in NASSAWADOX, VA. NPPES has assigned the NPI number 1811219751 to RIVERSIDE SHORE DIABETES CENTER on February 19, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RIVERSIDE SHORE DIABETES CENTER” is a dba name, the actual legal business name for this organization is SHORE HEALTH SERVICES, INC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERSIDE SHORE DIABETES CENTER below.

NPI Profile for
SHORE HEALTH SERVICES, INC

NPI Number
1811219751
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHORE HEALTH SERVICES, INC
Doing Business As (dba): RIVERSIDE SHORE DIABETES CENTER
Primary location
9507 HOSPITAL AVE
NASSAWADOX, VA 23413-0017
Phone: (757) 414-8054 Fax:
Mailing address
PO BOX 706
NASSAWADOX, VA 23413-0706
Phone: (757) 414-8054 Fax:
Organization Subpart
No
Authorized Official
JOSEPH ZAGER
ADMINISTRATOR/VP
Phone: (757) 414-8765
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.