Isao Miyairi, M.D.

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

42605 Issued in TN

Practice address

920 Madison Ave
Suite C50
Memphis, TN 38163-0001

Phone

(901) 448-5364

NPI assigned

Apr 13, 2007

Last updated

Oct 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Ut Lebonheur Pediatric Specialists, Inc.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1093024101

  Pediatric Infectious Diseases

  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1770707234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7933 GROVESHIRE CT",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383310",
            "telephone_number": "901-753-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MADISON AVE",
            "address_2": "SUITE C50",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381630001",
            "telephone_number": "901-448-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAIRI",
        "first_name": "ISAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "TN",
            "license": "42605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Dale Mitchell, PA
• James Burkhalter Mitchum, MD
• James R Mitchum, MD
• Sanjeev Kumar Mittal, MD
• Joseph A Mixon, MD
• Anna E Mize, MD
• Blair Mize, MS, RDN, CSSD, LDN
• MKM Transportation Service, LLC
• MNM Ecommerce Group, LLC (c/o Medical Cranial Prosthesis Division)
• Mobilcare Medical, Inc.

• Pediatric Infectious Diseases Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Infectious Diseases Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.