Provider Demographics
NPI:1417995515
Name:SHAIA, HARRY JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:JOSEPH
Last Name:SHAIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:7650 E PARHAM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4373
Practice Address - Country:US
Practice Address - Phone:804-288-3136
Practice Address - Fax:804-288-4538
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA101233047207XS0114X
VA0101233047207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0901528OtherUNITED HEALTHCARE
VA540885859OtherCOMPMANAGEMENT
VA225993OtherSOUTHERN HEALTHCARE
VA465751OtherANTHEM HEALTHKEEPERS
VA540885859OtherFIRST HEALTH/CCN
VA1417995515Medicaid
VA2138353OtherUNITED HEALTHCARE MAMSI
VAP00079152OtherRAILROAD MEDICARE
VA465846OtherANTHEM WEST END OPERATORY
VA540885859OtherCIGNA
VA70068OtherOPTIMA HEALTH
VA3113546OtherAETNA HMO
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE
VA540885859OtherFOCUS
VA10049831Medicaid
VA43883OtherSH CARENET
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA540885859OtherCORVEL
VA10049831Medicaid
VA002283W27Medicare PIN
VAH90467Medicare UPIN