Active NPI
George H Kuffner, MD
- Dermatology Physician
- Wooster, OH
National Provider Identifier
1902862733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35039516
- Practice address
- 1740 Cleveland Rd
Wooster, OH 44691-2204 - Phone
- (330) 287-4500
- Fax
- (330) 287-4965
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35039516 | OH | Primary |
Addresses
Primary practice location
1740 Cleveland Rd
Wooster, OH 44691-2204
Mailing address
1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0450515 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039516 | OH | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare 2000 Community Clinic Inc | Past | Accepting new patients |
Interoperability endpoints
- gkuffner@violastartzmanclinic.medentdirect.com
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Wooster, OH
- NPI 1518206754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1902862733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 CLEVELAND RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912204",
"telephone_number": "330-287-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 CLEVELAND RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912204",
"telephone_number": "330-287-4500",
"fax_number": "330-287-4965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUFFNER",
"first_name": "GEORGE",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35039516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0450515",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.