Active NPI
Kenneth H. Tozer II, MD
- Specialist
- Milan, TN
National Provider Identifier
1053413237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD016387
- Legal business name
- KENNETH H. TOZER II, MD
- Practice address
- 4022 Liberty St
Milan, TN 38358-3453 - Phone
- (731) 686-7004
- Fax
- (731) 686-7078
- NPI assigned
- Sep 1, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Harold Tozer II, M.D.
- Title
- Surgeon
- Phone
- (731) 686-7004
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD016387 | TN | Primary |
Addresses
Primary practice location
4022 Liberty St
Milan, TN 38358-3453
Mailing address
4022 Liberty St
Milan, TN 38358-3453
Phone (731) 686-7004
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03013966 | Medicaid | TN | |
| 03734638 | Medicaid | TN | |
| 0046019 | Other | TN | BCBS |
| 3013964 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Milan, TN
- NPI 1366489270
-
- Family Medicine Physician
- Milan, TN
- NPI 1801950225
-
- Family Nurse Practitioner
- Milan, TN
- NPI 1558545780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053413237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 LIBERTY ST",
"city": "MILAN",
"state": "TN",
"postal_code": "383583453",
"telephone_number": "731-686-7004",
"fax_number": "731-686-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 LIBERTY ST",
"city": "MILAN",
"state": "TN",
"postal_code": "383583453",
"telephone_number": "731-686-7004",
"fax_number": "731-686-7078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH H. TOZER II, MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TOZER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "731-686-7004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD016387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03013966",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03734638",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0046019",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3013964",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milan, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.