Individual provider Active NPI

Mark A Capehart, MD

  • Orthopaedic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1235139379
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9763 Issued in OK
Practice address
6475 S Yale Ave
Ste 301
Tulsa, OK 74136-7816
Phone
(918) 494-9300
Fax
(918) 494-9324
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 9763 OK Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X 9763 OK
Pediatric Orthopaedic Surgery Physician 207XP3100X 9763 OK

Addresses

Primary practice location

6475 S Yale Ave
Ste 301
Tulsa, OK 74136-7816

Mailing address

6475 S Yale Ave
Ste 301
Tulsa, OK 74136-7816
Phone (918) 494-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1235139379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 S YALE AVE",
            "address_2": "STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367816",
            "telephone_number": "918-494-9300",
            "fax_number": "918-494-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 S YALE AVE",
            "address_2": "STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367816",
            "telephone_number": "918-494-9300",
            "fax_number": "918-494-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPEHART",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "9763",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OK",
            "license": "9763",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "OK",
            "license": "9763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.