NPIMap

Organization Active NPI

Kufoy Medical Clinic

  • Sleep Disorder Diagnostic Clinic/Center
  • Deridder, LA
National Provider Identifier
1306086616
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
11431R Issued in LA
Legal business name
KUFOY MEDICAL CLINIC
Practice address
311 S. Pine Street
Deridder, LA 70634-4837
Phone
(337) 463-3500
Fax
(337) 463-3526
NPI assigned
Feb 26, 2009
Last updated
Feb 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Dr. Ernesto Antonio Kufoy, MDNPI 1295792596
Title
Owner/Physician
Phone
(337) 463-3500

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
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 11431R LA Primary

Addresses

Primary practice location

311 S. Pine Street
Deridder, LA 70634-4837

Mailing address

311 S. Pine Street
Deridder, LA 70634-4837
Phone (337) 463-3500

National Provider Directory

National Provider Directory
Tax ID family
Kufoy Medical Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1306086616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S. PINE STREET",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344837",
            "telephone_number": "337-463-3500",
            "fax_number": "337-463-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S. PINE STREET",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344837",
            "telephone_number": "337-463-3500",
            "fax_number": "337-463-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUFOY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "KUFOY",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "337-463-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "LA",
            "license": "11431R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.