Individual provider Active NPI

Mary Flaten Shaya, M.D.

  • Neurology Physician
  • Rochester Hills, MI
National Provider Identifier
1306088760
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301082966 Issued in MI
Practice address
75 Barclay Cir Ste 230
Rochester Hills, MI 48307-5823
Phone
(248) 237-6994
Fax
(248) 237-4524
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301082966 MI Primary

Addresses

Primary practice location

75 Barclay Cir Ste 230
Rochester Hills, MI 48307-5823

Mailing address

75 Barclay Cir Ste 230
Rochester Hills, MI 48307-5823
Phone (248) 237-6994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301082966MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1306088760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 230",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075823",
            "telephone_number": "248-237-6994",
            "fax_number": "248-237-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 230",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075823",
            "telephone_number": "248-237-6994",
            "fax_number": "248-237-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYA",
        "first_name": "MARY",
        "middle_name": "FLATEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301082966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.