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SHAE MEDICAL PLLC NPI 1053084202


NPI Information

NPI: 1053084202
Provider Name: SHAE MEDICAL, PLLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
5306 NC HIGHWAY 55
SUITE 105
DURHAM, NC
ZIP 27713
Phone: (919) 646-4858
Get Directions

SHAE MEDICAL, PLLC is a geriatric medicine family medicine in Durham, NC. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. SHAE MEDICAL, PLLC NPI is 1053084202. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5306 NC HIGHWAY 55
SUITE 105
DURHAM, NC
ZIP 27713-812
Phone: (919) 646-4858
Fax: (919) 679-7112

The provider's authorized official is Brittany A. Mckinney .
The authorized official title is Chief Executive Officer and has the following contact phone number (919) 646-4858.

The enumeration date for this NPI number is 7/25/2021 and was last updated on 11/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207QH0002XFamily MedicineHospice and Palliative MedicineNo
3207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.