Allen R Kaufman, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25427 Issued in IA

Practice address

1370 NW 114TH St
Suite 203
Clive, IA 50325-7030

Phone

(515) 457-7716

Fax

(515) 457-7865

NPI assigned

Aug 12, 2005

Last updated

Sep 27, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allen R. Kaufman, MD

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1689629537
  NPD (past) Authorized official

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1497757009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 NW 114TH ST",
            "address_2": "SUITE 203",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257030",
            "telephone_number": "515-457-7716",
            "fax_number": "515-457-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 NW 114TH ST",
            "address_2": "SUITE 203",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257030",
            "telephone_number": "515-457-7716",
            "fax_number": "515-457-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ALLEN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "25427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039347",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madisyn Jones, OT
• Kara Lynne Jorgensen, BCBA
• Tracey Jurgensmeier, ARNP
• Andrew Kafeero, ETC
• Rory Ryan Karibo, D.O.
• Olaf Peter Kaufman, MD
• Victor Harry Kaylarian, D.O.
• Kylee Kayser, DPT
• Nathan David Keck, DDS
• Paul Leroy Keller, M.D.

• Gastroenterology Physician in Clive, IA
• Providers in Clive, IA by specialty
• Gastroenterology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.