Individual provider Active NPI

Joanna Chandra Salmon Kauffman, M.D.

  • Family Medicine Physician
  • Bluffton, OH
National Provider Identifier
1578875456
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.123229 Issued in OH
Practice address
204 N Main St
Bluffton, OH 45817-1284
Phone
(419) 996-5002
Fax
(419) 996-5001
NPI assigned
Jul 8, 2010
Last updated
Oct 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116022974 VA
Family Medicine Physician 207Q00000X 35.123229 OH Primary

Addresses

Primary practice location

204 N Main St
Bluffton, OH 45817-1284

Mailing address

PO Box 636930
Cincinnati, OH 45263-6930

Other practice location 1

4879 US Highway 68 S
West Liberty, OH 43357-9525
Phone (937) 599-1411

Other names 1

  • Dr. Joanna Chandra Salmon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909000700 OH Practitioner - Family Practice 1254550114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Yale University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima, LLCGroup PAC ID 3375607351, 54 clinicians

Practice addresses (Care Compare)

204 N Main St
Bluffton, OH 45817-1284
Phone (419) 996-5002

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0116022974VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima, LLC Family Medicine CurrentSince Sep 5, 2017 Accepting new patients
Mary Rutan Hospital Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

204 N Main St
Bluffton, OH 45817
Phone (419) 228-8950

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

Interoperability endpoints

  • Direct secure messaging: jkauffman322067@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1578875456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636930",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171284",
            "telephone_number": "419-996-5002",
            "fax_number": "419-996-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4879 US Highway 68 S",
            "address_purpose": "LOCATION",
            "city": "West Liberty",
            "state": "OH",
            "postal_code": "433579525",
            "country_code": "US",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "JOANNA",
        "middle_name": "CHANDRA SALMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116022974",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.123229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "SALMON",
            "middle_name": "CHANDRA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, OH

Sources for this page

Verify at the official NPI Registry.