NPIMap

Organization Active NPI

Guy Cappuccino, MD LLC

  • Plastic and Reconstructive Surgery Physician
  • Mount Airy, MD
National Provider Identifier
1376795963
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
D0066908 Issued in MD
Legal business name
GUY CAPPUCCINO, MD LLC
Practice address
1304 S Main St
Mount Airy, MD 21771-5329
Phone
(301) 829-4110
Fax
(301) 769-5768
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Dr. Guy Cappuccino, M.D.NPI 1992730733
Title
Owner
Phone
(301) 829-4110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X D0066908 MD Primary

Addresses

Primary practice location

1304 S Main St
Mount Airy, MD 21771-5329

Mailing address

1304 S Main St
Mount Airy, MD 21771-5329
Phone (301) 829-4110

National Provider Directory

National Provider Directory

Locations

1304 S Main St
Mount Airy, MD 21771
Phone (301) 829-4110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1376795963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 S MAIN ST",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715329",
            "telephone_number": "301-829-4110",
            "fax_number": "301-769-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 S MAIN ST",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715329",
            "telephone_number": "301-829-4110",
            "fax_number": "301-769-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY CAPPUCCINO, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "CAPPUCCINO",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-829-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0066908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.