MEDICARE: SHADY MEDICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1487510814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHADY MEDICAL PLLC

Provider Business Mailing Address
First Line	:	5015 CAMPUSWOOD DR STE 207
Second Line	:
City	:	EAST SYRACUSE
State	:	NY
Zip	:	13057-4232
Country	:	US
Telephone Number	:	315-541-4445
Fax Number	:	844-689-4093

Provider Business Practice Location Address
First Line	:	5015 CAMPUSWOOD DR STE 207
Second Line	:
City	:	EAST SYRACUSE
State	:	NY
Zip	:	13057-4232
Country	:	US
Telephone Number	:	607-429-8590
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. AMR SHADY
Credential	:	MD
Telephone Number	:	315-541-4445

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	05/07/2026

Similar Medicare Providers

1417948928 — DR. AMR SHADY MD
Practice Location Address:

5015 CAMPUSWOOD DR STE 207
EAST SYRACUSE, NY
13057-4232

Practice Phone: 315-541-4445
Practice Fax: 315-541-4430

1710546049 — MS. BRITNEE NICHOLE WILLIAMS FNP
Practice Location Address:

5015 CAMPUSWOOD DR
EAST SYRACUSE, NY
13057-4232

Practice Phone: 833-442-1509
Practice Fax:

1700486065 — HEATHER M. ST. AMOUR NP
Practice Location Address:

5015 CAMPUSWOOD DR
EAST SYRACUSE, NY
13057-4232

Practice Phone: 315-204-0397
Practice Fax:

1770675449 — LATIMER COUNTY HOME HEALTH CARE AGENCY
Practice Location Address:

202 EAST MAIN
WILBURTON, OK
74578-4232

Practice Phone: 918-465-4241
Practice Fax: 918-465-5795

1871916932 — HAYES FAMILY DENTISTRY
Practice Location Address:

3823 HWY 80 EAST , SUITE 400
PEARL, MS
39208-4232

Practice Phone: 601-664-9300
Practice Fax: 601-664-1977

1427504984 — EMILY SLOOK MSW LSW
Practice Location Address:

502 W GERMANTOWN PIKE
EAST NORRITON, PA
19403-4232

Practice Phone: 610-275-2020
Practice Fax:

Directions to “SHADY MEDICAL PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.