Active NPI
John E Gibson, M.D., Joseph H. Kaufman, M.D.,LTD
- Dermatology Physician
- Alexandria, VA
National Provider Identifier
1679603385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101023946
- Legal business name
- JOHN E GIBSON, M.D., JOSEPH H. KAUFMAN, M.D.,LTD
- Practice address
- 5249 Duke St Ste 5
Alexandria, VA 22304-2907 - Phone
- (703) 751-2616
- Fax
- (703) 370-8275
- NPI assigned
- Mar 6, 2007
- Last updated
- Feb 3, 2022
- 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
- Kristopher Jon Kaufman, MD
- Title
- Practice Owner
- Phone
- (703) 751-2616
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101023946 | VA | Primary |
Addresses
Primary practice location
5249 Duke St Ste 5
Alexandria, VA 22304-2907
Mailing address
5249 Duke St Ste 5
Alexandria, VA 22304-2907
Phone (703) 751-2616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5249 Duke St
Ste 5
Alexandria, VA 22304
Phone (703) 751-1177
Practitioners & 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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1457813693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643846400000",
"number": "1679603385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5249 DUKE ST STE 5",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042907",
"telephone_number": "703-751-2616",
"fax_number": "703-370-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5249 DUKE ST STE 5",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042907",
"telephone_number": "703-751-2616",
"fax_number": "703-370-8275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN E GIBSON, M.D., JOSEPH H. KAUFMAN, M.D.,LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "KRISTOPHER",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "703-751-2616",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "VA",
"license": "0101023946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.