Individual
MR. ERICK ROMAN KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2358 PROFESSOR AVE, CLEVELAND, OH 44113-4630
(216) 334-2800
(216) 589-0017
Mailing address
2981 BERKSHIRE RD, CLEVELAND HEIGHTS, OH 44118-2474
(216) 321-9548
(216) 901-9958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35078036K
OH
207Q00000X
Family Medicine Physician
MD00037575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129991
BLUE CROSS BLUE SHIELD
OH
05
—
2233854
—
OH
01
—
341300581044
CARESOURCE
OH
01
—
353965
WELLCARE
OH
01
—
7235143
AETNA
OH
01
—
735725
BUCKEYE
OH
01
—
F78036
APEX
OH
Enumeration date
05/15/2006
Last updated
12/21/2011
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