MEDICARE: STEVEN LEWIS KAUFMAN MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	39970	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	654326	OTHER	CO	ANTHEM BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083613582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN LEWIS KAUFMAN MD, PHD

Provider Business Mailing Address
First Line	:	1136 EAST STUART ST.
Second Line	:	SUITE 4102
City	:	FORT COLLINS
State	:	CO
Zip	:	80525
Country	:	US
Telephone Number	:	970-498-8346
Fax Number	:	970-419-8346

Provider Business Practice Location Address
First Line	:	1136 EAST STUART ST.
Second Line	:	SUITE 4102
City	:	FORT COLLINS
State	:	CO
Zip	:	80525
Country	:	US
Telephone Number	:	970-498-8346
Fax Number	:	970-419-8346

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	01/07/2019

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