Active NPI
Capital Orthopaedics
- Orthopaedic Surgery Physician
- Charleston, WV
National Provider Identifier
1033110705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CAPITAL ORTHOPAEDICS
- Practice address
- 500 Donnally Street
Suite 100
Charleston, WV 25301-1648 - Phone
- (304) 346-0439
- Fax
- (304) 346-6904
- NPI assigned
- Aug 3, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Joseph Lukowski, M.D.
- Title
- President
- Phone
- (304) 346-0439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | WV | Primary |
Addresses
Primary practice location
500 Donnally Street
Suite 100
Charleston, WV 25301-1648
Mailing address
500 Donnally St
Suite 100
Charleston, WV 25301-1648
Phone (304) 346-0439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810005793 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
500 Donnally St
#100
Charleston, WV 25301
Phone (304) 346-0439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1033110705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DONNALLY ST",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011648",
"telephone_number": "304-346-0439",
"fax_number": "304-346-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DONNALLY STREET",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011648",
"telephone_number": "304-346-0439",
"fax_number": "304-346-6904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL ORTHOPAEDICS",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-03",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LUKOWSKI",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-346-0439",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005793",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.