Active NPI
Steven R Kaufman, DO
- Pediatrics Physician
- West Linn, OR
National Provider Identifier
1396773008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO8427
- Practice address
- 22400 S Salamo Rd
West Linn, OR 97068-8269 - Phone
- (503) 657-0074
- Fax
- (503) 657-0295
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO8427 | OR | Primary |
Addresses
Primary practice location
22400 S Salamo Rd
West Linn, OR 97068-8269
Mailing address
22400 S Salamo Rd
West Linn, OR 97068-8269
Phone (503) 657-0074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238691 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO8427 | OR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396773008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22400 S SALAMO RD",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970688269",
"telephone_number": "503-657-0074",
"fax_number": "503-657-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22400 S SALAMO RD",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970688269",
"telephone_number": "503-657-0074",
"fax_number": "503-657-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "STEVEN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "DO8427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "238691",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.