Organization Active NPI

Jefferson M Trupp MD PC

  • Radiation Oncology Clinic/Center
  • Anniston, AL
National Provider Identifier
1407054539
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
11479 Issued in AL
Legal business name
JEFFERSON M TRUPP MD PC
Practice address
1320 Leighton Ave Ste a
Anniston, AL 36207-4614
Phone
(256) 236-5358
Fax
(256) 236-3657
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Ms. Margaret S Porter, CPC
Title
Office Manager
Phone
(256) 236-5358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X 11479 AL Primary

Addresses

Primary practice location

1320 Leighton Ave Ste a
Anniston, AL 36207-4614

Mailing address

1320 Leighton Ave Ste a
Anniston, AL 36207-4614
Phone (256) 236-5358

National Provider Directory

National Provider Directory

Locations

1320 Leighton Ave
Ste A
Anniston, AL 36207
Phone (256) 236-5358

2100 State Ave
Panama City, FL 32405
Phone (850) 763-0036

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1407054539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 LEIGHTON AVE STE A",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074614",
            "telephone_number": "256-236-5358",
            "fax_number": "256-236-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 LEIGHTON AVE STE A",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074614",
            "telephone_number": "256-236-5358",
            "fax_number": "256-236-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON M TRUPP MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-236-5358",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "AL",
            "license": "11479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.