Organization Active NPI

The Akeso Group

  • Anesthesiology Physician
  • Memphis, TN
National Provider Identifier
1336454313
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20634 Issued in TN
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Dr. Johnathan Milton Isom, MDNPI 1609832690
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3706284OtherTNAPPLICATIONS PROCESSING

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.