Active NPI
James Charles Shaya, MD
- Pediatrics Physician
- Clarkston, MI
National Provider Identifier
1659307619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- JS052715
- Practice address
- 7210 N Main St
Ste 205
Clarkston, MI 48346 - Phone
- (248) 625-9755
- Fax
- (248) 620-9334
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | JS052715 | MI | Primary |
Addresses
Primary practice location
7210 N Main St
Ste 205
Clarkston, MI 48346
Mailing address
7210 N Main St
Ste 205
Clarkston, MI 48346
Phone (248) 625-9755
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
| License | State | Type | Specialty |
|---|---|---|---|
| JS052715 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659307619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 N MAIN ST",
"address_2": "STE 205",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "48346",
"telephone_number": "248-625-9755",
"fax_number": "248-620-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7210 N MAIN ST",
"address_2": "STE 205",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "48346",
"telephone_number": "248-625-9755",
"fax_number": "248-620-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAYA",
"first_name": "JAMES",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "JS052715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.