Sergio Capuno Macatangay, MD
Individual provider Active NPI General Practice Physician · War, WV
NPI 1447218458 · NPPES record last updated Mar 23, 2010
Key facts
- NPI
- 1447218458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 13158 (WV)
- Practice address
- 11710 Main St
War, WV 24892-0250 - Phone
- (304) 875-2299
- Fax
- (304) 875-2205
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13158 | WV | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Caregivers LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13158 | WV | Yes |
Addresses
Primary practice location
11710 Main St
War, WV 24892-0250
Mailing address
PO Box 250
11710 Main St
War, WV 24892-0250
Phone (304) 875-2299
Other providers in War, WV
- Autumn Lea Edwards
- Bobbi Sue Greer
- Amanda Noel Hagerman
- Barbara Holt
- Mario Lucero
- Mahesh B. Patel
- McDowell Pharmacy Inc
- Miners City Clinic
- Leslie Lynn Poe
- Jennifer Rathbone
All providers in War, WV · General Practice Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.