Jay G Shake in Jackson - Thoracic Surgery (cardiothoracic Vascular Surgery)
Jay G Shake - NPI 1215967500
Jay G Shake is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Jackson, Mississippi. Jay G Shake practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic 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 | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 23449 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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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 Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy classification code for this specialized field is 208G00000X.
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.