NPIMap

Individual provider Active NPI

Joseph E Fouche, MD

  • Medical Oncology Physician
  • Jackson, TN
National Provider Identifier
1609043249
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD51527 Issued in TN
Practice address
720 W Forest Avenue
Jackson, TN 38301-3902
Phone
(731) 541-9561
Fax
(731) 541-1829
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD51527 TN Primary
Hematology (Internal Medicine) Physician 207RH0000X MD51527 TN

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916000433 TN Practitioner - Internal MedicinePractitioner - Hematology/Oncology 8921257288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Madison County General HospitalGroup PAC ID 3678481975, 55 clinicians

Practice addresses (Care Compare)

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

650 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 541-6834

Hospital & facility affiliations

  • Medical Center Home Health LLC Home health agency, Jackson, TN, CCN 447101
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
  • Hardin Medical Center Hospital, Savannah, TN, CCN 440109
  • Baptist Memorial Hospital - Carroll County Hospital, Huntingdon, TN, CCN 440016
  • Volunteer Community Hospital Hospital, Martin, TN, CCN 440061

Merit-based Incentive Payment System (MIPS)

Final score
77.21 of 100Reported as group
Quality
64.19
Improvement activities
40
Cost
79.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD51527TNMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hematology Oncology Associates PLLC PastSince May 9, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joseph.fouche@kirklandcancercenter.direct.varian.com

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1609043249",
    "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": "731-425-5783"
        },
        {
            "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": "FOUCHE",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TN",
            "license": "MD51527",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "TN",
            "license": "MD51527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.