Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | G8973 | TX |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | G8973 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | G8973 | TX |
NPI | 1184698706 |
---|---|
Provider Name | Jay Shapiro |
First Address | Austin, TX 78723 |
Second Address | Austin, TX 78723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 18/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
126203208 | MEDICAID CSHCN (01) | TX |
1262032-09 | (05) | TX |
1262032-10 | (05) | TX |
1262032-11 | MEDICAID CSHCN ROT (01) | TX |
1262032-12 | MEDICAID CSHCN AUSTIN (01) | TX |
87W191 | BCBS INDIVIDUAL # (01) | TX |