Susan M Kaufman DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS006866L Issued in PA

Legal business name

SUSAN M KAUFMAN DO

Practice address

300 York St
Suite B
Corry, PA 16407-1420

Phone

(814) 664-3979

Fax

(814) 663-4879

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Kaufman

Title

Office Manager

Phone

(814) 664-3979

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Birgitta Allgeier

  • Medical Physician Assistant
  • Erie, PA
  • NPI 1053369579
  NPD (past)
• Cheryl A Mongera, CRNP

  • Nurse Practitioner
  • Corry, PA
  • NPI 1942288238
  NPD (past)
• Susan M Kaufman, D.O

  • Family Medicine Physician
  • Wapakoneta, OH
  • NPI 1053316489
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1992788012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 YORK ST",
            "address_2": "SUITE B",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071420",
            "telephone_number": "814-664-3979",
            "fax_number": "814-663-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 YORK ST",
            "address_2": "SUITE B",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071420",
            "telephone_number": "814-664-3979",
            "fax_number": "814-663-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M KAUFMAN DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-664-3979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006866L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1053316489",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rose Steves, D.M.D.
• Karl E. Streilein, O.D., PHD.
• Rebekka Stull, PHARMD
• John Mark Styborski, MPT
• Tracy Ann Styborski, MPT
• The After Chapter Inc
• Amber Lynn Trask, M.A.,CCC-SLP/L
• Robin Duell Vanderhoff, RN
• Pamela Jean Vrenna, RN
• Jaymes Vroman, LPC

• Family Medicine Physician in Corry, PA
• Providers in Corry, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.