DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAY G SHAKE, MD

Active

Thoracic Surgery (Cardiothoracic Vascular) · JACKSON, MS

Registration Details

NPI Number
1215967500
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2006 (19.801422310738 yrs)
Last Updated
May 12, 2015
Licenses
102316 (MN)
23449 (MS)
N8723 (TX)
N8723 (TX)

Practice Information

Address
2500 N STATE ST
JACKSON, MS, 392164500
Browse MS providers · Browse ZIP 39216
Phone
6019845100
Additional Specialty
Critical Care Medicine

Other Thoracic Surgery (Cardiothoracic Vascular) Providers in JACKSON, MS

Name Credential NPI
PIERRE EDOUARD DE DELVA MD 1043294432
DR. RICHARD P COCHRAN MD 1013996586
DR. CRAIG VORPE ADAMS M.D. 1114969011
DR. LAWRENCE LEE CRESWELL M.D. 1083729362
DR. ALBERT MICHAEL KOURY M.D. 1225143910
DR. GIORGIO M ARU M.D. 1477649465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.