DAVID H. KUPFERBERG, MD - NPI NUMBER 1548329295

Summary

Provider Name: DAVID H. KUPFERBERG, MD

NPI Number: 1548329295

Clasification: Internal Medicine (207RP1001X)

Specialization: Pulmonary Disease

Organization: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Address:
9200 W WISCONSIN AVE
PULMONARY DISEASE
MILWAUKEE, WI
ZIP 53226

Phone Number: (414) 955-7040



Detailed Information

David H. Kupferberg, MD is a pulmonary disease internist in Milwaukee, WI with 20 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. The assigned NPI number for this provider is 1548329295 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MCGILL UNIVERSITY FACULTY OF DENTISTRY
Graduation Year: 1995

The provider's business address is:

9200 W WISCONSIN AVE
PULMONARY DISEASE
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 955-7040
Fax: (414) 955-6211

The enumeration date for this NPI number is 12/8/2006 and was last updated on 12/11/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RP1001X Internal Medicine Pulmonary Disease A64547 CA No
2 207RP1001X Internal Medicine Pulmonary Disease 62373 WI Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1548329295 MEDICAID WI

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1548329295 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. 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 (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name KUPFERBERG The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name DAVID The first name of the provider, if the provider is an individual.
5 Provider Middle Name H. The middle name of the provider, if the provider is an individual.
6 Provider Credential Text MD The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
7 Provider First Line Business Practice Location Address 9200 W WISCONSIN AVE The first line 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.
8 Provider Second Line Business Practice Location Address PULMONARY DISEASE The second line 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.
9 Provider Business Practice Location Address City Name MILWAUKEE The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name WI The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 532263522 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 4149557040 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 4149556211 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 12/8/2006 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 12/11/2014 The date that a record was last updated or changed.
17 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
18 Healthcare Provider Taxonomy Code 1 207RP1001X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number 1 A64547 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
20 Provider License Number State Code 1 CA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
21 Healthcare Provider Primary Taxonomy Switch 1 N
22 Healthcare Provider Taxonomy Code 2 207RP1001X
23 Provider License Number 2 62373 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
24 Provider License Number State Code 2 WI The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
25 Healthcare Provider Primary Taxonomy Switch 2 Y
26 Other Provider Identifier 1 1548329295 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
27 Other Provider Identifier Type Code 1 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier State 1 WI
29 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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