Kayne Kishiyama MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KAYNE KISHIYAMA MD PA

Practice address

1522 Elk Creek Dr
Idaho Falls, ID 83404-8322

Phone

(208) 552-0920

Fax

(208) 529-2564

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Kayne K Kishiyama, M.D.

Title

Owner

Phone

(208) 552-0920

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Dennis Jones, D.O., M.P.H

  • Hospitalist Physician
  • Idaho Falls, ID
  • NPI 1922413699
  NPD (past)
• Richard A New, M.D.

  • Psychiatry Physician
  • Ammon, ID
  • NPI 1699718619
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1457518110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-552-0920",
            "fax_number": "208-529-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-552-0920",
            "fax_number": "208-529-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYNE KISHIYAMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "KISHIYAMA",
        "authorized_official_first_name": "KAYNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-552-0920",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sue Karns, FNP
• Kristie Glen Karroum, FNP-C
• Jourdan Alexandria Katz, DO
• Scott Kawakami, OD
• Tauni Kaye, FNP-C
• Kboll Healthcare
• Amanda Catherine Kearns, PHD
• Aaron Robert Kearsley, DPT
• Erin Kearsley, APRN-CNM
• Kayla Dawn Kearsley, COTA/L

• Psychiatry Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Psychiatry Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.