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

Johnathan Milton Isom, MD, MBA

Individual provider Anesthesiology Physician · NPI 1609832690

Johnathan Milton Isom, MD, MBA is an Anesthesiology in Memphis, Tennessee. Graduated from Medical College of Wisconsin in 1985, 41 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group and works from 2 locations. Licensed in Tennessee.

Years since qualifying
41
Trained at
Medical College of Wisconsin
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

5744 Nanjack Cir
Memphis, TN 38115-2061
Phone: (901) 797-9711
Fax: (901) 797-9771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 Skyline Dr, Jackson, TN 38301-3923 — (731) 541-7070

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 20634 (TN)

Record details

NPI number1609832690
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESDecember 20, 2018

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1985 (41 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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