Miwa Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N7147 Issued in TX

Legal business name

MIWA MEDICAL GROUP, PLLC

Practice address

600 Division Ave Ste G
San Antonio, TX 78214-1336

Phone

(210) 259-8088

Fax

(210) 265-1142

NPI assigned

Oct 13, 2011

Last updated

Jun 17, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward A Miwa, M.DNPI 1396066163

Title

Owner

Phone

(210) 391-8400

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Alejandro Miwa, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1396066163
  Authorized official Same address or phone
• William Hollis Bradshaw, M.D.

  • Surgery Physician
  • San Antonio, TX
  • NPI 1053310573
  NPD (past)
• Bessy M Moonnumackal, NP-C

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1417313180
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1326323056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6818",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782090818",
            "telephone_number": "830-309-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DIVISION AVE STE G",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141336",
            "telephone_number": "210-259-8088",
            "fax_number": "210-265-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIWA MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "MIWA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-391-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Mitchell Kimo Mitsui
• Akash Mittal, DO
• Shashi Mittal, M.D.
• Brant Steven Mittler, M.D.
• Alfiya Mityukova, RN
• Edward Alejandro Miwa, M.D.
• Mohammad Reza Mizani, M.D.
• Alexis Lee Mize
• Caleb Zachariah Mize
• Florence Mizutani-Cuevas, LMSW

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.