Jay G Shake is a Critical Care Medicine in Jackson, Mississippi. Jay G Shake practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Jay G Shake is 1215967500. The last update date is 2015-05-12.
Jay G Shake's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845171. The mailing address for Jay G Shake is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jay G Shake |
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Address | 2500 N State St, Jackson, Mississippi |
Phone Number | 6019845171 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1215967500 |
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Provider Enumeration Date | 2006-07-03 |
Last Updated Date | 2015-05-12 |
Provider Mailing Address Detail
Address | 2500 N State St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392164500 |
Phone Number | 6019845171 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Critical Care Medicine |
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Taxonomy | 207Rc0200X |
Licence No | N8723 |
Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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693630000 | MN | -- | |
2358242 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jay G Shake by the Centers for Medicare & Medicaid Services (CMS)?
The Jay G Shake has been assigned the NPI (National Provider Identifier) 1215967500. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jay G Shake is geographically located?
The Jay G Shake is physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is Jay G Shake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jay G Shake is Critical Care Medicine, and the corresponding taxonomy classification code for this specialized field is 207Rc0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215967500 to Jay G Shake?
The Centers for Medicare & Medicaid Services assigned the 1215967500 to Jay G Shake on 2006-07-03.
As of what date were the details pertaining to Jay G Shake last refreshed?
The information related to the Jay G Shake, including its address, specialty, and other relevant details, was last updated on 2015-05-12.