Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Gregg Ian Shore, MD

Colon & Rectal Surgery Physician in Sebring, FL · enumerated 2005 · practices at Florida Lakes Anesthesia LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235138983

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Registry record

Entity type Individual (Type 1)

Name Mr. Gregg Ian Shore

Credential MD

Sex Male

Practice address 4759 Lakeview Dr, Ste 101, Sebring, FL, 33870

Phone (863) 402-5600

Fax (863) 402-5602

Enumeration date Jul 15, 2005

Last updated in NPPES Apr 9, 2017

Taxonomy & licenses

208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians · License ME91364 (FL) Primary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License ME91364 (FL) Secondary

208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians · License 0436711 (KS) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
3710089	Medicaid	TN	-
P00603445	Other	FL	MEDICARE RAILROAD PROVIDER NUMBER
279783600	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Gregg Shore?

Gregg Shore is registered in NPPES with the primary taxonomy of Colon & Rectal Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Michael Hernicz Certified Registered Nurse Anesthetist · Sebring, FL NPI 1790730943 Thomas Lackey Surgery Physician · Sebring, FL NPI 1114955598 Florida Lakes Anesthesia LLC Anesthesiology Physician · Sebring, FL NPI 1023731239

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-09.