Organization Active NPI

Stephen K. Miyasato M.D., Inc.

  • Internal Medicine Physician
  • Aiea, HI
National Provider Identifier
1457650772
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD4730 Issued in HI
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

Updated by the provider on Mar 25, 2011

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.