Capital Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAPITAL MEDICAL GROUP, LLC

Practice address

5985 49TH St N
St Petersburg, FL 33709-2111

Phone

(727) 408-3232

Fax

(727) 527-3715

NPI assigned

Dec 20, 2012

Last updated

Dec 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phyllis Friedrich

Title

VP Operations and Bus Development

Phone

(727) 408-3232

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1427394303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3377",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337803377",
            "telephone_number": "727-408-3232",
            "fax_number": "727-527-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092111",
            "telephone_number": "727-408-3232",
            "fax_number": "727-527-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "VP OPERATIONS AND BUS DEVELOPMENT",
        "authorized_official_telephone_number": "727-408-3232"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell James Capelli
• Alicia P Capen, MS, CCC-SLP
• Shanna Lea Gustafson Capen, M.S., M.P.H, C.G.C.
• Marjorie Capers, LCSW
• Marsha Capinpin, PTA
• Julia Capleton, LMFT
• Adam C Capparelli, MA
• Michelle Lea Cappelli Gordon
• Ashley Lynn Caputo, CCHT
• Jessica Ann Caraballo, ARNP

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.