Organization Active NPI

Amy J. Kauffman PLLC

  • Surgery Physician
  • Burley, ID
National Provider Identifier
1619133501
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M-9588 Issued in ID
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.