Active NPI
The Akeso Group
- Anesthesiology Physician
- Memphis, TN
National Provider Identifier
1336454313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20634
- Legal business name
- THE AKESO GROUP
- Practice address
- 5744 Nanjack Cir
Memphis, TN 38115-2061 - Phone
- (901) 797-9711
- Fax
- (901) 797-9771
- NPI assigned
- Aug 13, 2010
- Last updated
- Oct 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Johnathan Milton Isom, MD
- Title
- Managing Partner
- Phone
- (901) 797-9711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R864279 | MS | |
| Registered Nurse | 163W00000X | 82822 | TN | |
| Anesthesiology Physician | 207L00000X | 20634 | TN | Primary |
Addresses
Primary practice location
5744 Nanjack Cir
Memphis, TN 38115-2061
Mailing address
5744 Nanjack Cir
Memphis, TN 38115-2061
Phone (901) 797-9711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3706284 | Other | TN | APPLICATIONS PROCESSING |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1609832690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286496000000",
"number": "1336454313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5744 NANJACK CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381152061",
"telephone_number": "901-797-9711",
"fax_number": "901-797-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5744 NANJACK CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381152061",
"telephone_number": "901-797-9711",
"fax_number": "901-797-9771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE AKESO GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-13",
"last_updated": "2010-10-08",
"status": "A",
"authorized_official_last_name": "ISOM",
"authorized_official_first_name": "JOHNATHAN",
"authorized_official_middle_name": "MILTON",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "901-797-9711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R864279",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "82822",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "20634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLICATIONS PROCESSING",
"identifier": "3706284",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Shundraneka L Thaxter, PHARM D
- Braden Thomas Thayer, DMD
- Jane J. Thayer, DNP, ACNP
- The Abc's of Quality Care
- The Agency for Youth and Family Development
- The Akeso Group
- The Arthritis Group PC
- The Bay at Highlands Health and Rehabilitation Center LLC (Highlands Health and Rehabilitation Center)
- The Bellevue Clinic, PC
- The Bridge Medical Service, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.