Edwin Ishoo, MD

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

154977 Issued in MA

Practice address

One Brookline Place
Suite 321
Brookline, MA 02445

Phone

(781) 552-6089

NPI assigned

Jul 30, 2006

Last updated

Sep 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universal Mobile Services, Inc.

  • Specialist
  • Haverhill, MA
  • NPI 1770535874
  NPD (past)
• University Ear, Nose and Throat Specialists, Inc.

  • Otolaryngology Physician
  • Cincinnati, OH
  • NPI 1326081399
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1760497226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRAPELO RD",
            "address_2": "APT 1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024526329",
            "telephone_number": "781-552-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BROOKLINE PLACE",
            "address_2": "SUITE 321",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02445",
            "telephone_number": "781-552-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHOO",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NM",
            "license": "2005-0084",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "154977",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MA",
            "license": "154977",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MA",
            "license": "154977",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NM",
            "license": "MD2005-0084",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "154977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Irvin, LICSW
• Keith Kim Irving, PH.D.
• Caily Chandler Irwin, PA-C
• Roberta S. Isberg, M.D.
• Luljeta Isedisha
• Raymond A Isidro Vega, M.D.,PH.D.
• Meryl Iskenderian
• Salpi Iskenderian, PT
• Bushra Ismail
• Elliot Israel, MD

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.