=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043304090
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHAEL KAUFMANN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2006
-----------------------------------------------------
Last Update Date | 04/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | LILLY CORPORATE CENTER 639 SOUTH DELAWARE ST.
-----------------------------------------------------
City | INDIANAPOLIS, INDIANA
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46225-4622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 463-209-3115
-----------------------------------------------------
Fax | 317-276-1733
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5245 N COUNTY ROAD 600 E
-----------------------------------------------------
City | BROWNSBURG
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46112-9481
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-514-6985
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207PE0004X
-----------------------------------------------------
Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
-----------------------------------------------------
License Number | 01053866A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number | 01053866
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------