Organization Active NPI

Steven L Kaufman, MD, PHD, PC

  • Surgery Physician
  • Fort Collins, CO
National Provider Identifier
1417907981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39970 Issued in CO
Legal business name
STEVEN L KAUFMAN, MD, PHD, PC
Practice address
1120 E Elizabeth St
BLDG G, Ste 4
Fort Collins, CO 80524-4044
Phone
(970) 498-8346
Fax
(970) 419-8346
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven L Kaufman, MD, PHDNPI 1083613582
Title
Owner
Phone
(970) 498-8346

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 39970 CO Primary

Addresses

Primary practice location

1120 E Elizabeth St
BLDG G, Ste 4
Fort Collins, CO 80524-4044

Mailing address

1629 Blue Spruce Dr
Ste 208
Fort Collins, CO 80524-5415
Phone (970) 498-8346

Other identifiers 2

IdentifierTypeStateIssuer
KAK65432OtherCOBCBS
87407345MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Steven L Kaufman MD PHD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1629 Blue Spruce Dr
Ste 208
Fort Collins, CO 80524
Phone (970) 495-0300

1120 E Elizabeth St
Ste G4
Fort Collins, CO 80524
Phone (970) 221-5050

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417907981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 BLUE SPRUCE DR",
            "address_2": "STE 208",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805245415",
            "telephone_number": "970-498-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E ELIZABETH ST",
            "address_2": "BLDG G, STE 4",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244044",
            "telephone_number": "970-498-8346",
            "fax_number": "970-419-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L KAUFMAN, MD, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-498-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "39970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "KAK65432",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87407345",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.