MS. KELLYE KAUFMAN AA-C NPI 1710970082
Anesthesiologist Assistant in Cleveland, OH
About KELLYE KAUFMAN
Kellye Kaufman is a provider established in Cleveland, Ohio and her medical specialization is anesthesiologist assistant with more than 30 years of experience. The NPI number of Kellye Kaufman is 1710970082 and was assigned on August 2005. The practitioner's primary taxonomy code is 367H00000X with license number 67000038 (OH). The provider is registered as an individual and her NPI record was last updated 15 years ago. Kellye Kaufman is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
NPI | 1710970082 |
Provider Name | MS. KELLYE KAUFMAN AA-C |
Provider Location Address | 2500 METROHEALTH DR CLEVELAND, OH 44109 |
Provider Mailing Address | 4 LYMAN CIR SHAKER HEIGHTS, OH 44122 |
Gender | Female |
NPI Entity Type | Individual |
Medical School Name | OTHER |
Graduation Year | 1992 |
Is Sole Proprietor? | Yes |
Is Organization Subpart? | N/A |
Enumeration Date | 08-23-2005 |
Last Update Date | 07-08-2007 |
Primary Taxonomy
Taxonomy Code | 367H00000X |
Classification | Anesthesiologist Assistant |
Type | Physician Assistants & Advanced Practice Nursing Providers |
License No. | 67000038 |
License State | OH |
Taxonomy Description | An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
Business Address
MS. KELLYE KAUFMAN AA-C
2500 METROHEALTH DR
CLEVELAND, OH
ZIP 44109
Phone: (216) 778-4801
Mailing Address
MS. KELLYE KAUFMAN AA-C
4 LYMAN CIR
SHAKER HEIGHTS, OH
ZIP 44122
Phone: (216) 778-4801
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State |
---|---|---|
KA8220442 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH |
2548765 | MEDICAID (05) | OH |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1992704886 | CARIE TWICHELL AA Individual | Anesthesiologist Assistant | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4809 |
1104827740 | JULIA A. RILEY PHARM.D. Individual | Pharmacist | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-1946 |
1013909209 | MR. KRISTEN NILS HANSEN RPH Individual | Pharmacist | 2500 METROHEALTH DR WOMENS AND CHILDRENS PLAZA CLEVELAND, OH 44109 (216) 778-8537 |
1881687564 | MR. BRADEN JOSEPH KUNZELMAN RPH Individual | Pharmacist | 2500 METROHEALTH DR AMBULATORY PHARMACY CLEVELAND, OH 44109 (216) 778-7548 |
1508859281 | MS. STEPHANIE E CROSS RPH Individual | Pharmacist | 2500 METROHEALTH DR OUTPATIENT PHARMACY CLEVELAND, OH 44109 (216) 778-3017 |
1255324943 | MRS. TANIA NICOLE BIERLY RPH Individual | Pharmacist | 2500 METROHEALTH DR OUTPATIENT PHARMACY CLEVELAND, OH 44109 (216) 778-2201 |
1154315364 | MR. JOSEPH PEACHMAN A.A. Individual | Anesthesiologist Assistant | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4801 |
1801880596 | MR. MICHAEL L PYRTKO RPH Individual | Pharmacist | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-7548 |
1588658157 | MS. EBONY NICOLE ALEXANDER RPH Individual | Pharmacist | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-3017 |
1275522765 | HANS C GEHO M.D. Individual | Internal Medicine | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-7800 |
1376523670 | DR. ANDRE PROCHOROFF MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4933 |
1831166636 | SHANE B ROWAN MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-2328 |
1144284928 | DR. BEN H BROUHARD MD Individual | Pediatrics (Pediatric Nephrology) | 2500 METROHEALTH DR ROOM A-109 CLEVELAND, OH 44109 (216) 778-4900 |
1740246347 | SHARI DANIELLE BOLEN M.D. Individual | Internal Medicine | 2500 METROHEALTH DR METROHEALTH MEDICAL CENTER-INTERNAL MEDICINE CLINIC CLEVELAND, OH 44109 (216) 778-2273 |
1457304255 | WILLIAM E CAPPAERT M.D. Individual | Ophthalmology | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-2236 |
1316987902 | SHARON LYNN MACK CNP Individual | Nurse Practitioner | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-7800 |
1770523516 | MS. ANNETTE M LYNCH MSN, CNS Individual | Clinical Nurse Specialist (Perinatal) | 2500 METROHEALTH DR DEPARTMENT OF PEDIATRICS/PERINATAL CLEVELAND, OH 44109 (216) 778-7800 |
1427099183 | DR. KARL G WAGNER MD Individual | Anesthesiology | 2500 METROHEALTH DR DEPARTMENT OF ANESTHESIOLOGY CLEVELAND, OH 44109 (216) 778-4809 |
1760428155 | GRAHAM H CREASEY MD Individual | Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine) | 2500 METROHEALTH DR MHMC-PM&R CLEVELAND, OH 44109 (216) 778-8802 |
1508892290 | JAMES F QUILTY MD Individual | Pediatrics | 2500 METROHEALTH DR MHMC-PEDIATRICS CLEVELAND, OH 44109 (216) 778-5198 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.