Healthcare Provider Details

I. General information

NPI: 1437157088
Provider Name (Legal Business Name): JEFFREY L KAUFMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 N MURRAY HILL RD
COLUMBUS OH
43228-1524
US

IV. Provider business mailing address

104 N MURRAY HILL RD
COLUMBUS OH
43228-1524
US

V. Phone/Fax

Practice location:
  • Phone: 614-878-6413
  • Fax: 614-878-1159
Mailing address:
  • Phone: 614-878-6413
  • Fax: 614-878-1159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number34002613
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number34002613
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: