Organization Active NPI

Lori Kaufman, M.D., P.C.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1083898613
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14161 Issued in AL
Legal business name
LORI KAUFMAN, M.D., P.C.
Practice address
400 Whitesport Dr SW
Ste 201
Huntsville, AL 35801-6452
Phone
(256) 882-9777
Fax
(256) 882-9188
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Lori Ellen Kaufman, M.D.
Title
President
Phone
(256) 882-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 14161 AL Primary

Addresses

Primary practice location

400 Whitesport Dr SW
Ste 201
Huntsville, AL 35801-6452

Mailing address

400 Whitesport Dr SW
Ste 201
Huntsville, AL 35801-6452
Phone (256) 882-9777

Other identifiers 4

IdentifierTypeStateIssuer
4113939OtherALAETNA
81959OtherALBLUE CROSS BLUE SHIELD
C72458OtherALUPIN
14161OtherALALABAMA LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1083898613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW",
            "address_2": "STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016452",
            "telephone_number": "256-882-9777",
            "fax_number": "256-882-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW",
            "address_2": "STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016452",
            "telephone_number": "256-882-9777",
            "fax_number": "256-882-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI KAUFMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-882-9777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4113939",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81959",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C72458",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA LICENSE",
            "identifier": "14161",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.