Organization Active NPI

Allen R. Kaufman, MD

  • Gastroenterology Physician
  • Clive, IA
National Provider Identifier
1689629537
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
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

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Allen R Kaufman, MDNPI 1497757009
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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1039347MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.