Individual provider Active NPI

Ronald Edward Capstack, M.D.

  • Ophthalmology Physician
  • Harrisonburg, VA
National Provider Identifier
1669568648
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101036073 Issued in VA
Practice address
1921 Medical Ave
Harrisonburg, VA 22801-3437
Phone
(540) 433-2485
Fax
(540) 433-2010
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101036073 VA Primary

Addresses

Primary practice location

1921 Medical Ave
Harrisonburg, VA 22801-3437

Mailing address

1921 Medical Ave
Harrisonburg, VA 22801-3437
Phone (540) 433-2485

Other identifiers 1

IdentifierTypeStateIssuer
6343007MedicaidVA

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669568648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 MEDICAL AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013437",
            "telephone_number": "540-433-2485",
            "fax_number": "540-433-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 MEDICAL AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013437",
            "telephone_number": "540-433-2485",
            "fax_number": "540-433-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPSTACK",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101036073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6343007",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • 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.