Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Miyakawa, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1245613694

John Miyakawa, PHYSICIANASSISTANT is a Surgical Physician Assistant in Gulfport, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2015

Practice location Address checks out

12337 Ashley Dr Ste F
Gulfport, MS 39503-2753
Phone: (228) 365-6932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (MS)

Record details

NPI number1245613694
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJuly 2, 2015
Last updated in NPPESJuly 2, 2015

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