Whalio Doctors

NPI 1215967500

Jay G Shake, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Jackson, MS

Practice location

Address
2500 N State St, Jackson, MS 39216-4500
Phone
(601) 984-5100

Registered specialties (4)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 23449 (MS)
Vascular Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 102316 (MN)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence N8723 (TX)
Critical Care Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0200X Licence N8723 (TX)

Registry record

NPI
1215967500
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jul 2006
Record last updated
12 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.