Jeremy Kauffman, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003396 Issued in PA

Practice address

1 College Ave Ste 4501
Mechanicsburg, PA 17055-6815

Phone

(717) 766-2511

Fax

(717) 796-5229

NPI assigned

Jul 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Messiah College

  • Rehabilitation Clinic/Center
  • Mechanicsburg, PA
  • NPI 1407393556
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1245646207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLLEGE AVE STE 4501",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556815",
            "telephone_number": "717-766-2511",
            "fax_number": "717-796-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLLEGE AVE STE 4501",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556815",
            "telephone_number": "717-766-2511",
            "fax_number": "717-796-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "JEREMY",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Likitha Kanuganti, MD
• Marnie Sue Kaplan, MD
• Elizabeth Ann Karns, OD
• Michelle Beth Kassahun, M.S., L.P.C. C.C.B.T
• Cara Katterman, PA
• John Stewart Kauffman, D.D.S.
• Kamaljit Kaur, DDS
• KDF Partners, Inc.
• Brian J Keane, D.D.S.
• Kearns & Ashby DDS PC

• All providers in Mechanicsburg, PA
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.