Clinton Joseph Kaufman, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

04314 Issued in KY

Practice address

1532 Lone Oak Rd Ste 235
Paducah, KY 42003-7941

Phone

(270) 442-9463

NPI assigned

Jun 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Twin Lakes Medical Center Hospital, Leitchfield, KY, CCN 180070
• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckaufman111742@direct.owensborohealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Owensboro Health Medical Group Inc

  dba Owensboro Health Muhlenberg Community Hospital Wound Center

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Kentucky Specialty Care LLC

  • Surgery Physician
  • Paducah, KY
  • NPI 1700408093
  Medicare reassignment NPD
• Mercy Health Physicians Kentucky Specialty Care LLC

  dba Mercy Health - Paducah Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1043088347
  NPD
• Owensboro Health Medical Group Inc

  dba Owensboro Health Medical Group Premier Primary Care

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711
  NPD
• Owensboro Health Medical Group, Inc

  dba Owensboro Health Medical Group-Surgical Specialists

  • Surgery Physician
  • Leitchfield, KY
  • NPI 1275139552
  NPD
• Mercy Health Physicians Kentucky LLC

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922243690

  Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Owensboro Health Inc

  dba Owensboro Health Regional Hospital

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  Care Compare affiliation
• Owensboro Health Twin Lakes Regional Medical Center, Inc

  dba Owensboro Health Twin Lakes Medical Center

  • General Acute Care Hospital
  • Leitchfield, KY
  • NPI 1285221416
  Care Compare affiliation

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1134566805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD STE 235",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037941",
            "telephone_number": "270-442-9463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Wallace Ave",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542414",
            "country_code": "US",
            "telephone_number": "270-259-3035",
            "fax_number": "370-259-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "CLINTON",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "04314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100556620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaleidoscope Therapeutic Services
• Allison Marie Kaletch
• Zakirah Imran Kamil
• Katterjohn Drug
• Kyle Pitman Katterjohn, RPH, RPH
• Frank Joseph Kaufman, DMD
• Vivian Marie Kaufman
• Autumn Keegan
• Craig D Keene
• Timothy Keene

• Surgery Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.