Roger J Kauffman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35044296 Issued in OH

Practice address

208 W Columbus Ave
Bellefontaine, OH 43311-1434

Phone

(937) 404-2488

Fax

(937) 404-2428

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Hickory Medical Direct Primary Care, LLC

  • Family Medicine Physician
  • Bellefontaine, OH
  • NPI 1295196087
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458345600000",
    "number": "1629006309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W COLUMBUS AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111434",
            "telephone_number": "937-404-2488",
            "fax_number": "937-404-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W COLUMBUS AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111434",
            "telephone_number": "937-404-2488",
            "fax_number": "937-404-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "ROGER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35044296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424713",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Lee Joseph, APRN, FNP-C
• Cheryl Justin
• Sarah Kathleen Juttner, LSW
• Jaylin Kalb
• Gordon J Katz, D.O.
• Ryan D. Kauffman, M.D.
• Carisa Marie Kaufman, OT
• Scott C Kayatin, DC
• April Keeney
• Amy L Keller, RDLD

• Family Medicine Physician in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; 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.