Healthcare Provider Details

I. General information

NPI: 1609819085
Provider Name (Legal Business Name): ADAM H KAUFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 PIEDMONT AVE SUITE 1600
CINCINNATI OH
45219-4231
US

IV. Provider business mailing address

4445 LAKE FOREST DR STE 600
BLUE ASH OH
45242-3744
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-7295
  • Fax: 513-475-7369
Mailing address:
  • Phone: 513-569-3741
  • Fax: 513-569-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35065175
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: