Shaya Medical PC Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHAYA MEDICAL PC INC

Practice address

4235 Sunbeam Rd
Jacksonville, FL 32257-6013

Phone

(904) 322-8555

Fax

(904) 322-8578

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Wissam Shaya, M.D.

Title

President

Phone

(904) 322-8555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1891173852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SUNBEAM RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576013",
            "telephone_number": "904-322-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 SUNBEAM RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576013",
            "telephone_number": "904-322-8555",
            "fax_number": "904-322-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYA MEDICAL PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "SHAYA",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-322-8555",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Lynn Shaw, LMSW
• Michael M Shaw, PH.D, LMHC
• Rachel Shaw, DNP, FNP-BC
• Vanessa Lynne Shaw, APRN
• Shawn Davis Healthcare LLC
• Wissam M Shaya, M.D.
• Marwan M Shaykh, MD
• Natalie Shaykh, DO
• Adam A Shbeb, DDS
• SHC Home Health Services - Jacksonville, LLC

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.