MR. JAY STUART KAUFMAN (NPI# 1104864511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104864511 |
| Entity Type | Individual |
| Full Name | MR. JAY STUART KAUFMAN |
| Credential | MD |
| Practice Address |
2985 Cortez Ave Idaho Falls ID 83404-2985 |
| Practice Telephone | 2085233373 |
| Practice Fax Number | 2085238746 |
| Mailing Telephone | 2085233373 |
| Mailing Fax Number | 2085238746 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M9638 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255472775 | Jay Stephen Kaufman | Optometrist | 22850 Ne 8th St, Suite 102, Sammamish, WA 98074-7256 | 2007-02-09 |
| 1245337419 | Jay H Kaufman | Ophthalmology | 2000 Washington St, Suite 462, Newton, MA 02462-1650 | 2006-09-20 |
| 1801868880 | Jay H. Kaufman | Internal Medicine | 500 W Annandale Rd, Falls Church, VA 22046-4205 | 2006-02-03 |
| 1962402495 | Jay Howard Kaufman | Podiatrist | 250 Cetronia Rd, Suite 303, Allentown, PA 18104-9147 | 2005-07-27 |
| Street Address |
2985 CORTEZ AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-2985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598631 | Douglas U. Blank | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2005-06-17 |
| 1720628308 | Juliette Ann Hollingshead | Nurse Practitioner | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2020-01-10 |
| 1669940110 | Naglaa Bargelski | Physician Assistant | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2018-11-02 |
| 1255821260 | Rachel Petrus | Nurse Practitioner | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2018-05-15 |
| 1285096149 | University of Utah Pediatric Services | Pediatrics | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2016-03-22 |
| 1144608308 | University of Utah Adult Services | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2015-05-08 |
| 1194128025 | Stephanie Leonardson | Nurse Practitioner | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2014-10-07 |
| 1013202985 | Brett J. Hiendlmayr | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2011-06-18 |
| 1235443193 | Justin S. Nielsen | Physician Assistant | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2010-08-03 |
| 1588992234 | Kipp B Webb | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-2985 | 2009-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1477578300 | John E Lassetter | Internal Medicine | 2001 S Woodruff Ave Ste 3, Idaho Falls, ID 83404 | 2006-07-13 |
| 1477553139 | Ricky Dwayne Latham | Internal Medicine | 2001 Valenica Drive, Suite 201, Idaho Falls, ID 83404 | 2005-07-26 |
| 1871598631 | Douglas U. Blank | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2005-06-17 |
| 1013202985 | Brett J. Hiendlmayr | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2011-06-18 |
| 1588992234 | Kipp B Webb | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-2985 | 2009-11-18 |
| 1043546260 | Ihc Health Services Inc | Internal Medicine | 2001 S Woodruff Ave, #12, Idaho Falls, ID 83404-6374 | 2009-10-22 |
| 1215025648 | Paul A Gerlach | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2006-10-11 |
| 1295735769 | Patrick D Gorman | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-2985 | 2005-07-27 |
| 1508866260 | Eastern Idaho Cardiology Associates, Pllc | Internal Medicine | 2001 S Woodruff Ave, Suite 12a, Idaho Falls, ID 83404-6374 | 2005-07-26 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.