Active NPI
Dwight Kaufman, MD
- Medical Oncology Physician
- Jackson, TN
National Provider Identifier
1457328692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD26550
- Practice address
- 720 W Forest Avenue
Jackson, TN 38301-3902 - Phone
- (731) 541-9561
- Fax
- (731) 541-1829
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | MD26550 | TN | Primary |
Addresses
Primary practice location
720 W Forest Avenue
Jackson, TN 38301-3902
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 423-8697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3090002 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1457328692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-423-8697",
"fax_number": "731-422-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W FOREST AVENUE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013902",
"telephone_number": "731-541-9561",
"fax_number": "731-541-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "DWIGHT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TN",
"license": "MD26550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3090002",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.