NPIMap

Organization Active NPI

Thomas W. Kupferer, D.O.

  • Family Medicine Physician
  • Murphysboro, IL
National Provider Identifier
1952369902
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036066913 Issued in IL
Legal business name
THOMAS W. KUPFERER, D.O.
Practice address
628 N 14TH St
Murphysboro Family Medicine
Murphysboro, IL 62966-1807
Phone
(618) 687-2353
Fax
(618) 687-9511
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Janet Leah Austin
Title
Office Manager
Phone
(618) 687-2353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036066913 IL Primary
Rural Health Clinic/Center 261QR1300X 036066913 IL

Addresses

Primary practice location

628 N 14TH St
Murphysboro Family Medicine
Murphysboro, IL 62966-1807

Mailing address

628 N 14TH St
Murphysboro, IL 62966-1807
Phone (618) 687-2353

Other identifiers 3

IdentifierTypeStateIssuer
143855OtherILOSCAR/MEDICARE
039-00152OtherILBCBS
350468093001MedicaidIL

Other names 1

  • MURPHYSBORO FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desoto Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

628 N 14th St
Murphysboro, IL 62966
Phone (618) 687-2353

Practitioners & affiliated clinicians

Practitioners 5

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": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1952369902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N 14TH ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629661807",
            "telephone_number": "618-687-2353",
            "fax_number": "618-687-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N 14TH ST",
            "address_2": "MURPHYSBORO FAMILY MEDICINE",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629661807",
            "telephone_number": "618-687-2353",
            "fax_number": "618-687-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. KUPFERER, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-687-2353"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036066913",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "036066913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR/MEDICARE",
            "identifier": "143855",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "039-00152",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350468093001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MURPHYSBORO FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murphysboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.