Organization Active NPI

Wolf Ridge Surgery PC

  • Surgery Physician
  • Ashland, OR
National Provider Identifier
1316124647
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WOLF RIDGE SURGERY PC
Practice address
1801 Highway 99 N Ste 2
Ashland, OR 97520-9152
Phone
(541) 488-4464
Fax
(541) 512-1689
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Annick Marie Kaufman, MD
Title
Owner
Phone
(541) 488-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1801 Highway 99 N Ste 2
Ashland, OR 97520-9152

Mailing address

1801 Highway 99 N Ste 2
Ashland, OR 97520-9152
Phone (541) 488-4464

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1316124647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HIGHWAY 99 N STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "telephone_number": "541-488-4464",
            "fax_number": "541-512-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HIGHWAY 99 N STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "telephone_number": "541-488-4464",
            "fax_number": "541-512-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF RIDGE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "ANNICK",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-488-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.