MEDICARE: MR. SHAY JONES P.A.-C

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	363A00000X	Physician Assistant	MAO51668	PA

General Provider Information

NPI Number	:	1417954736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHAY JONES P.A.-C

Provider Business Mailing Address
First Line	:	75 N FREMONT AVE APT 4
Second Line	:
City	:	BELLEVUE
State	:	PA
Zip	:	15202-3231
Country	:	US
Telephone Number	:	412-592-7880
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 OHARA ST # T-266
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2561
Country	:	US
Telephone Number	:	412-246-6274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	07/28/2021

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Directions to “ MR. SHAY JONES P.A.-C” Practice Location

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