NPIMap

Organization Active NPI

Stuart J Kaufman MD & Assoc PA

  • Ophthalmology Physician
  • Bushnell, FL
National Provider Identifier
1821212952
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
STUART J KAUFMAN MD & ASSOC PA
Practice address
1814 West CR 48
Bushnell, FL 33513
Phone
(352) 568-0600
Fax
(352) 568-0633
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Stuart J Kaufman, MDNPI 1669467437
Title
President
Phone
(813) 788-7616

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
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1814 West CR 48
Bushnell, FL 33513

Mailing address

PO Box 917462
Orlando, FL 32891-7462
Phone (352) 568-0600

Other identifiers 1

IdentifierTypeStateIssuer
0713410003OtherFLDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930035725 FL DME Supplier - Physician - OptometristDME Supplier - Physician - Ophthalmology 0143299495 Practice locations: Bushnell, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Stuart J Kaufman MD Assoc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1814 W County Road 48
Bushnell, FL 33513
Phone (352) 568-0600

2145 Cypress Ridge Blvd
Wesley Chapel, FL 33544

6329 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 788-7616

Practitioners & affiliated clinicians

Practitioners 7

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1821212952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917462",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917462",
            "telephone_number": "352-568-0600",
            "fax_number": "352-568-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 WEST CR 48",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "33513",
            "telephone_number": "352-568-0600",
            "fax_number": "352-568-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART J KAUFMAN MD & ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-788-7616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0713410003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bushnell, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.