Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Ann Miyashiro, PA-C

Individual provider Physician Assistant · NPI 1922516483

Heather Ann Miyashiro, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Renovation Orthopaedics LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, South Carolina and Washington.

Years since qualifying
9
Licensed in
AZ, SC, WA
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone: (866) 974-2673
Fax: (866) 974-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 E Wood St, Spartanburg, SC 29303-3040 — (864) 560-7025

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6952 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence TL2917 (SC)
Physician Assistant Taxonomy 363A00000X · Licence PA61003115 (WA)

Record details

NPI number1922516483
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Renovation Orthopaedics Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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