Gregg Ian Shore in Sebring - Colon & Rectal Surgery
Gregg Ian Shore - NPI 1235138983
Gregg Ian Shore is a Colon & Rectal Surgery in Sebring, Florida. Gregg Ian Shore practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Gregg Ian Shore is 1235138983. The last update date is 2017-04-09.
Gregg Ian Shore's current location address is 4759 Lakeview Dr, Sebring, Florida. You can contact this provider via phone number 8634025600 and fax number 8634025602. The mailing address for Gregg Ian Shore is 4759 Lakeview Dr, Sebring, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg Ian Shore |
|---|---|
| Address | 4759 Lakeview Dr, Sebring, Florida |
| Phone Number | 8634025600 |
| Fax Number | 8634025602 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235138983 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2017-04-09 |
Provider Mailing Address Detail
| Address | 4759 Lakeview Dr |
|---|---|
| City | Sebring |
| State | Florida (FL) |
| Post Code | 338702005 |
| Phone Number | 8634025600 |
| Fax Number | 8634025602 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | ME91364 |
|
Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3710089 | TN | -- | |
| P00603445 | FL | MEDICARE RAILROAD PROVIDER NUM | |
| 279783600 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregg Ian Shore by the Centers for Medicare & Medicaid Services?
The Gregg Ian Shore has been issued the NPI (National Provider Identifier) 1235138983 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Gregg Ian Shore is geographically located?
The Gregg Ian Shore is physically situated at the following location: 4759 Lakeview Dr, Sebring, FL, 338702005.
What is Gregg Ian Shore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregg Ian Shore's area of specialization is Colon & Rectal Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208C00000X.
On what date was the 1235138983 assigned to Gregg Ian Shore?
The Gregg Ian Shore was issued its 1235138983 on 2005-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gregg Ian Shore most recently updated or refreshed?
The details pertaining to the Gregg Ian Shore, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-04-09.