MEDICARE: NORTH SHORE PODIATRY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	36003128	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DD8373	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245357771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH SHORE PODIATRY INC

Provider Business Mailing Address
First Line	:	515 MOORE RD
Second Line	:	SUITE 3
City	:	AVON LAKE
State	:	OH
Zip	:	44012-2366
Country	:	US
Telephone Number	:	440-930-8637
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 MOORE RD
Second Line	:	SUITE 3
City	:	AVON LAKE
State	:	OH
Zip	:	44012-2366
Country	:	US
Telephone Number	:	440-930-8637
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST OWNER
Name	:	PAUL SHEARER
Credential	:	DPM
Telephone Number	:	440-930-8637

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	11/12/2008

Similar Medicare Providers

1568421782 — MICHAEL JAMES KOTOWSKI D.D.S.
Practice Location Address:

515 MOORE RD
AVON LAKE, OH
44012-2366

Practice Phone: 440-933-5428
Practice Fax:

1992829576 — DR. THOMAS JOSEPH PRZYBYSZ D.C.
Practice Location Address:

515 MOORE RD , SUITE, 4
AVON LAKE, OH
44012-2366

Practice Phone: 440-930-2338
Practice Fax: 440-930-2358

1194964833 — NORTHERN OHIO CHIROPRACTIC, LLC
Practice Location Address:

515 MOORE RD STE 4
AVON LAKE, OH
44012-2366

Practice Phone: 440-930-2338
Practice Fax:

1306941380 — MEDICAL GROUP PHARMACY INC
Practice Location Address:

650 HAWKINS AVE
LAKE RONKONKOMA, NY
11779-2366

Practice Phone: 631-588-8582
Practice Fax: 631-588-8599

1699825349 — ANDREA M BARROWS PHARMD
Practice Location Address:

1638 S 900 E
SALT LAKE CITY, UT
84105-2366

Practice Phone: 801-484-8782
Practice Fax:

1578619391 — DR. ROGER BLANK O.D.
Practice Location Address:

603 CORTLAND DR
LAKE ZURICH, IL
60047-2366

Practice Phone: 847-975-1653
Practice Fax:

Directions to “NORTH SHORE PODIATRY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.