Organization Active NPI

Stuart J Kaufman MD & Assoc PA

  • Ophthalmology Physician
  • Zephyrhills, FL
National Provider Identifier
1083838692
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
STUART J KAUFMAN MD & ASSOC PA
Practice address
6329 Gall Blvd
Zephyrhills, FL 33542-2515
Phone
(813) 788-7616
Fax
(813) 783-2856
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Stuart J Kaufman, MDNPI 1669467437
Title
President
Phone
(813) 788-7616

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

6329 Gall Blvd
Zephyrhills, FL 33542-2515

Mailing address

PO Box 917462
Orlando, FL 32891-7462
Phone (813) 788-7616

Other identifiers 1

IdentifierTypeStateIssuer
0713410001OtherFLDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041002000011 FL Part B Supplier - Clinic/Group Practice 0143299495 Receives reassigned benefits from 13 practitioners
Practice locations: Bushnell, FL; Sun City Center, FL; Wesley Chapel, FL; Zephyrhills, FL
O20100930040013 FL DME Supplier - Physician - OptometristDME Supplier - Optician 0143299495 Practice locations: Zephyrhills, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1814 W County Road 48
Bushnell, FL 33513
Phone (352) 568-0600

4002 Sun City Center Blvd
#1038136349289
Sun City Center, FL 33573

2145 Cypress Ridge Blvd
#2018139731133
Wesley Chapel, FL 33544

2145 Cypress Ridge Blvd
#201
Wesley Chapel, FL 33544
Phone (813) 973-1133

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1083838692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917462",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917462",
            "telephone_number": "813-788-7616",
            "fax_number": "813-783-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6329 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422515",
            "telephone_number": "813-788-7616",
            "fax_number": "813-783-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART J KAUFMAN MD & ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-788-7616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0713410001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.

Verify at the official NPI Registry.