Organization Active NPI

William B. Shay, M.D., P.a.

  • Internal Medicine Physician
  • Victoria, TX
National Provider Identifier
1396933586
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WILLIAM B. SHAY, M.D., P.A.
Practice address
2710 Hospital Dr Ste 102
Victoria, TX 77901-5743
Phone
(361) 582-5789
Fax
(361) 582-5779
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. William Bihshing Shay, M.D.NPI 1922042639
Title
President
Phone
(361) 582-5789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2710 Hospital Dr Ste 102
Victoria, TX 77901-5743

Mailing address

1502 E Red River St # 317
Victoria, TX 77901-5523

Other identifiers 1

IdentifierTypeStateIssuer
0057BWOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100708000371 TX Part B Supplier - Clinic/Group Practice 8426189465 Receives reassigned benefits from 1 practitioner
Practice locations: Victoria, TX

National Provider Directory

National Provider Directory

Locations

2710 Hospital Dr
Ste 102
Victoria, TX 77901
Phone (361) 582-5789

1502 E Red River St
#317
Victoria, TX 77901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1396933586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E RED RIVER ST # 317",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DR STE 102",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015743",
            "telephone_number": "361-582-5789",
            "fax_number": "361-582-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B. SHAY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "SHAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BIHSHING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-582-5789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0057BW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.