Provider Demographics
NPI:1679501878
Name:LAUFER, SHARON TAURMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:TAURMAN
Last Name:LAUFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1263 HOSPITAL DR NW
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-2172
Mailing Address - Country:US
Mailing Address - Phone:812-738-3100
Mailing Address - Fax:812-738-3104
Practice Address - Street 1:1263 HOSPITAL DR NW
Practice Address - Street 2:SUITE 220
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2172
Practice Address - Country:US
Practice Address - Phone:812-738-3100
Practice Address - Fax:812-738-3104
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01037340207Q00000X
KY25895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM400028668OtherMEDICARE IN - NICC
KY000000693392OtherANTHEM - NICC
IN100128460Medicaid
IN119646OtherSIHO - NICC
INM400028668OtherMEDICARE IN - NICC
IN100128460Medicaid
KYM400037951Medicare UPIN