Active NPI
Amy J. Kauffman PLLC
- Surgery Physician
- Burley, ID
National Provider Identifier
1619133501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- M-9588
- Legal business name
- AMY J. KAUFFMAN PLLC
- Practice address
- 1945 Hiland Ave
Burley, ID 83318-2714 - Phone
- (208) 678-0900
- NPI assigned
- Jul 31, 2008
- Last updated
- Feb 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy J. Kauffman, M.D.
- Title
- General Surgeon
- Phone
- (208) 678-0900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-267A | ID | |
| Surgery Physician | 208600000X | M-9588 | ID | Primary |
Addresses
Primary practice location
1945 Hiland Ave
Burley, ID 83318-2714
Mailing address
1945 Hiland Ave
P.O. Box 1060
Burley, ID 83318-2714
Phone (208) 678-0900
National Provider Directory
National Provider DirectoryLocations
1945 Hiland Ave
Burley, ID 83318
Phone (208) 647-0024
1945 Hiland Ave
#A
Burley, ID 83318
Phone (208) 678-0900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Burley, ID
- NPI 1942369186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235001600000",
"number": "1619133501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 HILAND AVE",
"address_2": "P.O. BOX 1060",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182714",
"telephone_number": "208-678-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 HILAND AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182714",
"telephone_number": "208-678-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY J. KAUFFMAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-31",
"last_updated": "2009-02-19",
"status": "A",
"authorized_official_last_name": "KAUFFMAN",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "GENERAL SURGEON",
"authorized_official_telephone_number": "208-678-0900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-267A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "M-9588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.