Jay G Shake is a Vascular Surgery in Jackson, Mississippi. Jay G Shake practices all healthcare services and medical treatments related to Vascular Surgery. 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 |
---|---|
Address | 2500 N State St, Jackson, Mississippi |
Phone Number | 6019845171 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1215967500 |
---|---|
Provider Enumeration Date | 2006-07-03 |
Last Updated Date | 2015-05-12 |
Provider Mailing Address Detail
Address | 2500 N State St |
---|---|
City | Jackson |
State | Mississippi (MS) |
Post Code | 392164500 |
Phone Number | 6019845171 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
---|---|
Taxonomy | 2086S0129X |
Licence No | 102316 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
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 Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
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.