Active NPI
Stephen K. Miyasato M.D., Inc.
- Internal Medicine Physician
- Aiea, HI
National Provider Identifier
1457650772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD4730
- Legal business name
- STEPHEN K. MIYASATO M.D., INC.
- Practice address
- 99-128 Aiea Heights Drive
Suite 105
Aiea, HI 96701-3916 - Phone
- (808) 487-9922
- Fax
- (808) 483-6841
- NPI assigned
- Mar 25, 2011
- 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. Stephen Ken Miyasato, MD
- Title
- President
- Phone
- (808) 487-9922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD4730 | HI | Primary |
Addresses
Primary practice location
99-128 Aiea Heights Drive
Suite 105
Aiea, HI 96701-3916
Mailing address
99-128 Aiea Heights Drive
Suite 105
Aiea, HI 96701-3916
Phone (808) 487-9922
National Provider Directory
National Provider DirectoryLocations
99-128 Aiea Heights Dr
Ste 105
Aiea, HI 96701
Phone (808) 487-9922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301011200000",
"number": "1457650772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DRIVE",
"address_2": "SUITE 105",
"city": "AIEA",
"state": "HI",
"postal_code": "967013916",
"telephone_number": "808-487-9922",
"fax_number": "808-483-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DRIVE",
"address_2": "SUITE 105",
"city": "AIEA",
"state": "HI",
"postal_code": "967013916",
"telephone_number": "808-487-9922",
"fax_number": "808-483-6841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN K. MIYASATO M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-25",
"last_updated": "2011-03-25",
"status": "A",
"authorized_official_last_name": "MIYASATO",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "KEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-487-9922",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD4730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.