JEFFERY D. SHAY


Address: Guam Medical Plaza, Ste. 210, 633 Gov. Camacho Rd, Tamuning, GU 96913
Phone: 6716491001

JEFFERY D. SHAY (NPI# 1568462513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568462513
Entity Type Individual
Full Name JEFFERY D. SHAY
Credential MD
Practice Address Guam Medical Plaza, Ste. 210
633 Gov. Camacho Rd
Tamuning
GU 96913
Mailing Address Guam Medical Plaza, Ste. 210
633 Gov. Carlos Camacho Rd
Tamuning
GU 96913
Practice Telephone 6716491001
Practice Fax Number 6716491002
Mailing Telephone 6716491001
Mailing Fax Number 6716491002
Enumeration Date 2005-07-29
Last Update Date 2016-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
M-1885 GU Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
ME83145 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 262972100 05

Office Location

Street Address GUAM MEDICAL PLAZA, STE. 210
633 GOV. CAMACHO RD
City TAMUNING
State GU
Zip Code 96913

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871126219 Hannah Marie Sabo Laney Behavior Technician 212 Farenholt Ave., Tamuning, GU 96913 2020-02-13
1720618499 Jacquelin Gouniai Counselor 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 2020-01-22
1205475753 Gabriela Victoria Perez Behavior Technician 212 Farenholt Ave, Tamuning, GU 96913 2020-01-02
1073154944 Quenie-mei Tuliao Fisher Pharmacist 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 2019-10-02
1366090698 Elizabeth Rabon Technician 251 Carnation Ave, Mangilao, GU 96913 2019-08-29
1467000299 Yun Ming Lin Pharmacist 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 2019-08-26
1902465354 Anthony John Litwinchuk Jr. Audiologist Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 2019-06-10
1124580600 Khkn Corporation Acupuncturist 817 N Marine Corps Dr 109, Tamuning, GU 96913 2019-04-03
1700346541 Amc Mental Health, LLC Marriage & Family Therapist 263 Vietnam Veterans Highway, Mangilao, GU 96913 2019-03-20
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861780124 Miran Ribati Radiology 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3128 2011-07-20

Competitor

Search similar providers

City TAMUNING
Zip Code 96913

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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