Mary Linda Caputo, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA007 Issued in KY

Practice address

1945 Scottsville Rd
B2 PMB 137
Bowling Green, KY 42104-3376

Phone

(270) 782-0434

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386795425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18320 CHERRYWOOD DRIVE",
            "city": "CATLETTSBURG",
            "state": "KY",
            "postal_code": "411294210",
            "telephone_number": "270-782-0434",
            "fax_number": "270-782-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 SCOTTSVILLE RD",
            "address_2": "B2 PMB 137",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043376",
            "telephone_number": "270-782-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "MARY",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "SA007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KCSA",
            "identifier": "007",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Louis Campbell, M.D.
• Ranzie Campbell
• Trisha L Campbell, PT, DPT
• Laurie Cape, LPCC
• Capel Surgical Associates, LLC
• Michael Wayne Carby, ATC
• Cardinal Behavioral Health PLLC
• Mackenzie Carey
• Rachael Carlton
• Alexandria Ann Carman

• Surgical Physician Assistant in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.