Active NPI
Allen R. Kaufman, MD
- Gastroenterology Physician
- Clive, IA
National Provider Identifier
1689629537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- ALLEN R. KAUFMAN, MD
- Practice address
- 1370 NW 114TH St
Suite 203
Clive, IA 50325-7030 - Phone
- (515) 457-7716
- Fax
- (515) 457-7865
- NPI assigned
- May 22, 2006
- 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
- Allen R Kaufman, MD
- Title
- President and Ceo
- Phone
- (515) 237-3974
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | IA | Primary |
Addresses
Primary practice location
1370 NW 114TH St
Suite 203
Clive, IA 50325-7030
Mailing address
1370 NW 114TH St
Suite 203
Clive, IA 50325-7030
Phone (515) 457-7716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1039347 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
1370 NW 114th St
Ste 203
Clive, IA 50325
Phone (515) 457-7716
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1689629537",
"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": {
"organization_name": "ALLEN R. KAUFMAN, MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "ALLEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "515-237-3974",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1039347",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.